health education of patients on hemodialysis（健康教育在血液透析的患者）.docVIP

Health education of patients on hemodialysis Author: Ting-Ting Chen Ruanfeng Rong Chen Hengmei Hemodialysis (HD has become the end-stage renal disease (ESRD a safe and reliable delivery of critical renal replacement therapies, hemodialysis population increasing year by year as the main perpetrators of health education, nursing staff is necessary for patients to take a different educational content and ways to improve patient quality of life. 1 psychological counseling Initiative to understand the patient’s condition and mental state, etc., appropriate to explain to patients the disease, to establish a good nurse-patient relationship should be based on the course of disease, age, occupation and education and so different, have different psychological needs, psychological support to targeted , the use of psychological knowledge and holistic nursing care measures, to develop individualized for each patient care programs. 2 dietary guidance 2.1 water and salt intake in general, according to the patient’s dry weight, urine output and edema, restricted water and salt intake. Changes in body weight were observed daily, demanding a day between two dialysis patients with weight gain no more than 0.5kg, 2 weight gain between dialysis dry weight of not more than 4% to 5% is appropriate, sodium should be limited to 4 ~ 6g / d or less, urine outputgt; 1000mL / d in patients without strict control of water intake, eat more High-fiber foods in order to keep the stool. 2.2 potassium intake of potassium intake to 2 ~ 3g / d. 2.3 phosphorus intake of calcium and phosphorus intake should be controlled at 800 ~ 1000mg / d. 2.4 high-protein diet protein intake to strengthen the prevention of infection and the occurrence of cardiovascular complications is extremely important. High biological value protein to high-quality animal protein-based, such as eggs, fish, lean meat and milk. Eat vegetable protein, especially soy products. 2.5 dietary guid