Outcome of “Renal Diet Therapy and Deep Breathing Exercises” on Biochemical Parameters in Chronic Kidney Disease Patients of Shere Kashmir Institute of Medical Sciences (SKIMS) Soura Srinagar Kashmir

Dilshada Wani
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Abstract

Dilshada Wani, Pity Koul 1Professor cum Vice Principal, MMINNS & R Sher i Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir. 2Programme Coordinator and Ex. Director of School of Health Sciences, IGNOU, New Delhi, India. DOI: https://doi.org/10.24321/2455.7048.201903 Chronic Kidney Disease (CKD) is an irreversible and progressive reduction of renal tissue function which affects almost all other systems of the body. It often goes undiagnosed and therefore remains undertreated. For this reason, various biochemical parameters such as: serum creatinine and blood urea nitrogen, urinary protein, urinary albumin, urinary creatinine and Glomerular Filtration Rate (GFR) act as baseline predictors in early detection and management of CKD manifestations. Hence the present study was undertaken to find out the outcome of “Renal diet therapy and Deep breathing exercises” on 21 kidney related biochemical parameters among adult CKD patients who were admitted in SKIMS from 5th March 2012 to 31st July 2013.A total of 200 adult CKD patients being randomly selected were studied in two groups (experimental=100; control=100). The findings of the study revealed that CKD patients in the experimental group who received “Renal diet therapy and Deep breathing exercises” reported a considerable improvement (p≤0.05) in 11 biochemical parameters including: fasting serum glucose, cholesterol, triglycerides, HDL, LDL, calcium, phosphorus, potassium, chloride, hematocrit and platelets as compared to CKD patients in control group who received routine care, had shown a considerable improvement (p≤0.05) in only 5 biochemical parameters such as: fasting serum glucose, cholesterol, triglycerides, calcium and phosphorus. Hence, it can be inferred that “Renal diet therapy and Deep breathing exercises” were effective in regulating various biochemical parameters within normal level in CKD patients. However, the long-term efficacy of these non-pharmacological therapies need to be investigated.
“肾饮食疗法和深呼吸练习”对克什米尔医学研究所慢性肾病患者生化指标的影响
Dilshada Wani, Pity Koul教授兼副校长,MMINNS & R Sher i Kashmir医学科学研究所,苏拉,斯利那加,克什米尔。2项目协调员和健康科学学院前任院长,印度新德里,印度国立大学。DOI: https://doi.org/10.24321/2455.7048.201903慢性肾脏疾病(CKD)是一种不可逆的、进行性的肾组织功能降低,它几乎影响到身体的所有其他系统。它经常未被诊断,因此仍未得到充分治疗。因此,血清肌酐和血尿素氮、尿蛋白、尿白蛋白、尿肌酐和肾小球滤过率(Glomerular Filtration Rate, GFR)等生化指标可作为早期发现和治疗CKD表现的基线预测指标。因此,本研究旨在了解2012年3月5日至2013年7月31日SKIMS收治的成人CKD患者“肾脏饮食疗法和深呼吸练习”对21项肾脏相关生化指标的影响。随机选择200例成人CKD患者分为两组(实验=100;控制= 100)。研究结果显示,实验组CKD患者在接受“肾饮食疗法加深呼吸练习”后,11项生化指标均有显著改善(p≤0.05),包括:空腹血糖、胆固醇、甘油三酯、HDL、LDL、钙、磷、钾、氯、红细胞压积、血小板与对照组常规护理相比,仅有空腹血糖、胆固醇、甘油三酯、钙、磷5项生化指标有显著改善(p≤0.05)。由此可以推断,“肾食疗加深呼吸练习”对CKD患者各项生化参数调节在正常水平是有效的。然而,这些非药物治疗的长期疗效还有待研究。
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