Evidence-based practice for dietary management of non-dialysis chronic kidney disease patients
10.3760/cma.j.cn115682-20241226-07103
- VernacularTitle:非透析慢性肾脏病患者饮食管理的循证实践
- Author:
Lulu MO
1
;
Guifen GUAN
;
Donglan LING
;
Lijun YANG
;
Sijie GAO
;
Zhiqing LI
;
Yunyi ZHAO
;
Chang LIU
;
Zebin WANG
;
Xiaochun LAI
Author Information
1. 广州医科大学附属第二医院肾内科，广州 510260
- Publication Type:Journal Article
- Keywords:
Chronic kidney disease;
Diet;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2025;31(28):3836-3846
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evidence-based practice program for dietary management of patients with non-dialysis chronic kidney disease (CKD) based on best evidence and to evaluate the effectiveness of its application.Methods:The best evidence for dietary management of non-dialysis CKD patients was summarized. From September to October 2022, following the evidence clinical transformation model of the Fudan University Centre for Evidence-based Nursing, the best evidence was screened and evidence-based practice program were developed, taking into account patients' wishes, expert opinions, and clinical contexts. From November 2022 through March 2023, baseline reviews, analysis of barriers and facilitators were implemented. Between April 2023 and April 2024, evidence-based practice was carried out in the Department of Nephrology of the Second Affiliated Hospital of Guangzhou Medical University to compare the implementation rate of review indicators at the system, practitioner, and patient levels, and practitioners' knowledge before and after the application of evidence.Results:A total of 14 review indicators were developed. The implementation rate of the 12 review indicators and the practitioners' knowledge of the CKD diet were elevated after the evidence-based practice ( P<0.05) . Conclusions:Evidence-based practice program for dietary management of patients with non-dialysis CKD has a positive effect on improving practitioners' knowledge of non-dialysis CKD diets, implementation rate of dietary management behaviors, and patients' dietary behaviors.
