家属同步赋能教育联合饮食日记对维持性血液透析患者饮食行为和营养状况的影响

摘要/Abstract

摘要： 目的探讨家属同步赋能教育联合饮食日记对维持性血液透析患者饮食行为和营养状况的影响。方法选取2022年1月—2024年1月在烟台市莱阳中心医院治疗的维持性血液透析患者102例,采用随机数表法分为对照组和试验组,各51例。对照组给予常规饮食管理,试验组给予家属同步赋能教育联合饮食日记干预,持续3个月,比较两组饮食依从行为评分、营养状况及生活质量评分。结果试验组干预后饮食依从行为总分高于对照组（P<0.05）;上臂肌围、皮肤皱褶厚度均高于对照组（P<0.05）;血红蛋白（Hb）、白蛋白（ALB）、前清蛋白（PA）均高于对照组（P<0.05）;生活质量评分高于对照组（P<0.05）。结论给予维持性血液透析患者家属同步赋能教育联合饮食日记干预可促进患者饮食依从行为的养成,改善营养状况和提高生活质量。

关键词: 维持性血液透析, 家属同步赋能教育, 饮食日记, 饮食行为, 营养状况

Abstract: Objective To investigate the effects of family simultaneous empowerment education combined with food diary on dietary behavior and nutritional status of maintenance hemodialysis patients. Methods A total of 102 maintenance hemodialysis patients treated in Yantai Laiyang Central Hospital from January 2022 to January 2024 were selected and divided into control group and experimental group by random number table method, with 51 cases in each group. The control group was given routine diet management, and the experimental group was given family members simultaneous empowerment education combined with food diary intervention for 3 months. The scores of dietary compliance behavior, nutritional status and quality of life of the two groups were compared. Results The total score of dietary compliance behavior in experimental group was higher than that in control group (P<0.05). Muscle circumference and skin fold thickness of upper arm were higher than those of control group (P<0.05). Hemoglobin (Hb), albumin (ALB) and prealbumin (PA) were higher than those in control group (P<0.05). The quality of life score was higher than that of control group (P<0.05). Conclusion Simultaneous empowerment education combined with dietary diary intervention can promote the development of dietary compliance behavior, improve nutritional status and quality of life of patients with maintenance hemodialysis.

Key words: maintenance hemodialysis, family synchronized empowering education, food diary, eating behavior, nutritional status

中图分类号:

R473.5

李彩霞, 姜明. 家属同步赋能教育联合饮食日记对维持性血液透析患者饮食行为和营养状况的影响[J]. 中华养生保健, 2025, 43(2): 174-177.

LI Cai-xia, JIANG Ming. Effects of Family Simultaneous Empowerment Education Combined with Food Diary on Dietary Behavior and Nutritional Status of Maintenance Hemodialysis Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(2): 174-177.

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