营养指导护理在慢性肾功能衰竭血液透析患者中的应用效果分析.pdfVIP

护理论著CHINESECOMMUNITYDOCTORS

营养指导护理在慢性肾功能衰竭血液透析患者中的应用效果分析

王磊

121000锦州医科大学附属第三医院血液净化中心，辽宁锦州

doi:10.3969/j.issn.1007-614x.2025.11.026

摘要目的：探究营养指导护理在慢性肾功能衰竭（CRF）血液透析患者中的应用效果。方法：选取2023年6月—2024年

6月于锦州医科大学附属第三医院接受血液透析治疗的CRF患者88例作为研究对象，采用双盲法随机分为对照组和观察

组，每组44例。对照组实施常规护理，观察组在对照组基础上实施营养指导护理。比较两组护理效果。结果：护理后，

两组血红蛋白、白蛋白水平升高，且观察组高于对照组（P＜0.05）。护理后，两组血钙、血磷水平降低，且观察组低于对照

组（P＜0.05）。观察组护理总满意度高于对照组（P=0.002）。结论：营养指导护理在CRF血液透析患者中的应用效果显

著，可改善患者营养状况，降低血钙、血磷水平，提高患者满意度。

关键词慢性肾功能衰竭；血液透析；营养指导护理

中图分类号R473.5文献标识码A

AnalysisofApplicationEffectofNutritionGuidanceNursinginPatientswithChronicRenalFailureUndergoing

Hemodialysis

WangLei

BloodPurificationCenter,TheThirdAffiliatedHospitalofJinzhouMedicalUniversity,Jinzhou121000,LiaoningProvince,China

AbstractObjective:Toexploretheapplicationeffectofnutritionguidancenursinginpatientswithchronicrenalfailure(CRF)

undergoinghemodialysis.Methods:Atotalof88patientswithCRFwhoreceivedhemodialysistreatmentintheThirdAffiliated

HospitalofJinzhouMedicalUniversityfromJune2023toJune2024wereselectedasthestudysubjects.Theywererandomly

dividedintocontrolgroupandobservationgroupbydouble-blindmethod,with44casesineachgroup.Thecontrolgroupreceived

routinenursingandtheobservationgroupreceivednutritionguidancenursingonthebasisofthecontrolgroup.Thenursingeffects

ofthetwogroupswerecompared.Results:Afternursing,thelevelsofhemoglobinandalbumininthetwogroupsincreased,and

thelevelsintheobservationgroupwerehigherthanthoseinthecontrolgroup(P0.05).Afternursing,thelevelsofbloodcalcium

andbloodphosphorusinthetwogroupsdecreased,andthelevelsintheobservationgroupwerelowerthanthoseinthecontrol

group(P0.05).Thetotalsatisfactionwithnursingintheobservationgroupwashigherthanthatinthecontrolgroup(P=0.002).

Conclusion:Theapplicationof