Effects of precise management based on human component analysis on blood pressure and nutrition status in elderly hemodialysis patients
10.3760/cma.j.cn115682-20211128-05364
- VernacularTitle:基于人体成分分析的精准管理在老年血液透析患者中的应用
- Author:
Fei CHEN
1
;
Shan WANG
;
Shuping WANG
;
Ang LI
Author Information
1. 首都医科大学附属北京友谊医院医保透析室，北京 100050
- Keywords:
Aged;
Hemodialysis;
Impedance, bioelectrical;
Blood pressure;
Nutrition status
- From:
Chinese Journal of Modern Nursing
2022;28(29):4071-4075
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of precise management based on human component analysis on blood pressure and nutrition status of elderly hemodialysis patients.Methods:From January 2021 to May 2021, a total of 144 patients undergoing regular hemodialysis in Beijing Friendship Hospital Affiliated to Capital Medical University were enrolled and divided into the control group and the observation group with 72 cases in each group by the random number table method. The control group received routine volume and nutrition management, and the observation group received accurate volume and nutrition management based on human composition analysis for 12 weeks. The differences of water load (OH) , nutrition-related indicators, mean blood pressure before machine operation and incidence of hypotension during the intervention were compared in the two groups.Results:After the intervention, the OH value of the observation group was lower than that of control group, the difference was statistically significant ( P<0.05) . During the intervention period, the average blood pressure of the observation group was lower than that of the control group, the difference was statistically significant ( P<0.05) . The total incidence of hypotension in the observation group and the control group were 13.27% (86/648) and 17.44% (113/648) respectively, the difference was statistically significant (χ 2=4.428, P=0.035) . After the intervention, albumin, muscle mass, body cell mass and lean body weight of the observation group increased, while blood phosphoru and improved Subjective Global Assessment (SGA) score decreased, and the differences were statistically significant ( P<0.05) . After the intervention, albumin, muscle mass, body cell mass and lean body weight of the observation group were higher than those of the control group, while blood phosphorus and improved SGA score were lower than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Precise management of volume and nutrition based on human component analysis can effectively improve volume overload, blood pressure and nutrition status of elderly hemodialysis patients, and reduce the incidence of hyperphosphatemia and dialysis hypotension.
