营养护理在终末期肾病血液透析患者中实践效果观察.docVIP

营养护理在终末期肾病血液透析患者中实践效果观察 　　【摘要】 目的：探讨和研究营养护理在终末期肾病血液透析患者中的应用效果，为临床护理方案选择提供必要依据。方法：选取2012年8月-2014年8月本院收治的100例行维持性血液透析治疗的终末期肾病患者，根据随机数字表法分为两组，每组各50例，对照组采用常规护理措施，观察组则在常规护理基础上进行营养护理，对两组患者干预前后的营养状况及生活质量进行比较。结果：干预前两组患者的营养状况比较差异无统计学意义（P0.05），干预后观察组患者的体重指数、白蛋白、肌酐、血红蛋白水平均显著高于对照组，营养不良炎症评分（MIS）明显低于对照组，两组比较差异均有统计学意义（P0.05），干预后观察组患者的一般健康状况、生理功能、生理职能、躯体疼痛、精力、社会职能、情感职能、躯体健康总评、心理健康总评均优于对照组，两组比较差异均有统计学意义（P0.05）。结论：维持性血液透析治疗的终末期肾病患者往往营养状况较差，实施合理的营养护理能够显著地改善患者的营养水平及生活质量，值得在临床上推广和应用。 　　【关键词】 终末期肾病； 血液透析； 营养护理 　　【Abstract】 Objective：To explore and study the nutritional care at the end of the application effect of end-stage renal disease with hemodialysis patients，to provide the necessary basis for the selection of clinical nursing plan.Method：100 patients of maintenance hemodialysis for end-stage renal disease were selected in our hospital from August 2012 to August 2014 and were randomly divided into two groups，50 cases in each group.The control group was treated with routine nursing care，the observation group was trested on the basis of routine nursing with nutritional care，the nutritional status and life the quality of two groups’ patients before and after intervention were compared.Result：Compared two groups’ patients of nutritional status before the intervention，the difference was no statistically significant（P0.05）.After intervention，the observation group of BMI，albumin，creatinine，and hemoglobin levels were significantly higher than those in the control group，the malnutrition inflammation score （MIS） was significantly lower than that of the control group，the differences were statistically significant（P0.05）.After intervention，the observation group of general health，physiological function，physiological function，body pain，energy，social function，emotional function，physical health and mental health overall evaluation were significantly better than the control group，the difference was statistically significant（P0.05）.Conclusion：The treatment of maintenance hemodialysis patients with