Effect of dietary management based on family participation in elderly maintenance hemodialysis patients
10.3760/cma.j.cn115682-20211202-05428
- VernacularTitle:基于家属参与的饮食管理在老年维持性血液透析患者中的应用
- Author:
Zhengyan LI
1
;
Jinhong MIAO
;
Jingyun BAI
;
Yufeng LEI
;
Xue HAN
;
Yuanyuan HU
Author Information
1. 郑州大学第一附属医院肾脏内科,郑州 450000
- Keywords:
Aged;
Dialysis;
Maintenance hemodialysis;
Dietary management;
Family participation;
Dietary behavior;
Nutrition status
- From:
Chinese Journal of Modern Nursing
2022;28(30):4225-4230
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of family-participated dietary management on dietary compliance behavior and nutritional status in elderly maintenance hemodialysis (MHD) patients.Methods:From July 2019 to December 2020, a total of 120 elderly MHD patients admitted in the First Affiliated Hospital of Zhengzhou University were selected as the research objects, and divided into the experimental group and the control group with 60 cases in each group by random number table method. The control group conducted routine dietary management, and the experimental group received dietary management based on family participation. Six months after intervention, the dietary compliance attitude, dietary compliance behavior and nutritional status were compared between the two groups.Results:Six months after intervention, the scores of social restriction attitude, self-care attitude, acceptance attitude and dietary compliance behavior attitude of the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The scores of fluid restriction behavior, potassium intake behavior, self-care compliance, compliance in the face of difficulties, and dietary compliance of the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The serum prealbumin (PA) , albumin (ALB) , hemoglobin (Hb) , and transferrin (TRF) of the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Diet management based on family participation can enhance the attitude of dietary compliance, promote the development of dietary compliance behavior, and improve the nutritional status of elderly patients with MHD.