An Analysis of the Effects of Predictive Early Nutritional Care Interventions in Patients Undergoing Maintenance Haemodialysis.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Lingyan Pan, Rui Cao, Sujin Zhou, Mingmei Peng, Jie Huang, Shuting Xu, Song Zou, Yuli Yang
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引用次数: 0

Abstract

Objective: To study the effect of predictive early nutritional care intervention on gastrointestinal function, Subjective global nutritional assessment (SGA) score, serum albumin (ALB) and high-sensitivity C-reactive protein (hs CRP), quality of life and quality of sleep in patients on maintenance haemodialysis.

Methods: A total of 90 cases of maintenance hemodialysis patients in our hospital were collected from March 2020 and randomly divided into two groups of 45 cases each. The control group was cared for according to routine procedures. The study group added predictive early nutritional care intervention to this control group, i.e., nutritional personalized care was adjusted according to the patient's own disease, adherence, and comorbidities. The nursing effects, improvement of gastrointestinal function, and serum indexes when the two groups were compared.

Results: Before the intervention, there was no difference between the two groups regarding the improvement of gastrointestinal function, pg-sga score, or serum indexes (P > .05). After the intervention, the gastrointestinal function, pg-sga score and serum indexes in the two groups were improved, and the calorie and protein intake, the total effective rate of gastrointestinal function improvement, ALB level and quality of life score in the control group were significantly lower than those in the study group; BMI, AC, and TSF were significantly higher compared with study group; The level of hs CRP and sleep quality score in the study group were smaller than those in the study group (P < .05).

Conclusion: Through predictive early nutritional care intervention, maintenance hemodialysis patients can increase food intake and improve protein and calorie intake. In turn, it effectively improves gastrointestinal function, malnutrition and microinflammation, and improves life and sleep, which is worthy of clinical promotion.

对维持性血液透析患者进行早期营养护理预测干预的效果分析。
目的研究预测性早期营养护理干预对维持性血液透析患者胃肠功能、主观全面营养评估(SGA)评分、血清白蛋白(ALB)和高敏C反应蛋白(hs CRP)、生活质量和睡眠质量的影响:收集我院 2020 年 3 月以来维持性血液透析患者共 90 例,随机分为两组,每组 45 例。对照组按照常规程序进行护理。研究组在此基础上增加预测性早期营养护理干预,即根据患者自身病情、依从性、合并症等情况调整营养个性化护理。比较两组患者的护理效果、胃肠功能改善情况以及血清指标:干预前,两组患者的胃肠功能改善情况、pg-sga 评分和血清指标无差异(P>0.05)。干预后,两组患者的胃肠功能、pg-sga 评分和血清指标均有所改善,对照组的热量和蛋白质摄入量、胃肠功能改善总有效率、ALB 水平和生活质量评分均明显低于研究组;对照组的 BMI、AC 和 TSF 均明显高于研究组;研究组的 hs CRP 水平和睡眠质量评分均小于研究组(P < .05):通过预测性早期营养护理干预,维持性血液透析患者可增加食物摄入量,改善蛋白质和热量的摄入。进而有效改善胃肠功能、营养不良和微炎症,改善生活和睡眠,值得临床推广。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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