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