摘要
目的:探讨专科护士为主导的多学科营养干预对维持性血液透析高磷血症患者的影响。方法:选择2024年1月—2024年6月收治的维持性血液透析高磷血症患者142例,按照随机数字表法分为观察组和对照组,每组71例。对照组予以常规护理干预,观察组实施专科护士为主导的多学科营养干预。比较两组自我效能、钙磷代谢和营养状况。结果:观察组干预后的一般自我效能感量表(GSES)评分、血钙、前白蛋白(PA)、血红蛋白(Hb)、白蛋白(ALB)水平高于对照组,血磷、全段甲状旁腺素(iPTH)水平低于对照组,差异有统计学意义(P<0.05)。结论:在维持性血液透析高磷血症患者中应用专科护士为主导的多学科营养干预效果显著,可改善患者营养状况,调节钙磷代谢,提高患者自我效能。
Objective:To explore the effect of a specialist nurse-led multidisciplinary nutrition intervention on patients with maintenance hemodialysis hyperphosphatemia.Methods:A total of 142 patients with maintenance hemodialysis hyperphosphatemia admitted to the hospital from January 2024 to June 2024 were selected as the study subjects and divided into control group and observation group according to the random number table method,71 cases in each group.The control group received routine nursing intervention,and the observation group performed a multidisciplinary nutrition intervention led by specialized nurses.The two groups were self-efficacy,calcium and phosphorus metabolism,and nutritional status.Results:The general self-efficacy(GSES)score,prealbumin(PA),hemoglobin(Hb),and albumin(ALB)levels were higher than the control group,and the serum phosphorus and total parathyroyroid(iPTH)levels were lower than the control group,indicating a statistically significant difference(P<0.05).Conclusion:The multidisciplinary nurse-led nutrition intervention in patients with maintenance hemodialysis hyperphosphatemia,which can improve the nutritional status,regulate calcium and phosphorus metabolism and improve the self-efficacy.
作者
吴倩
WU Qian(Qiannan Buyi and Miao Autonomous Prefecture People's Hospital of Qiannan,Qiannan 558000,China)
出处
《临床医药实践》
2025年第6期470-473,共4页
Proceeding of Clinical Medicine
关键词
维持性血液透析高磷血症
多学科营养干预
钙磷代谢
自我效能
maintenance hemodialysis hyperphosphatemia
multidisciplinary nutritional intervention
calcium and phosphorus metabolism
self-efficacy
