摘要
目的探究对老年慢性肾脏病患者应用护理专案后对提高低蛋白饮食落实率的效果。方法本次试验选取本院在2022年1月—2023年12月收治的360例老年慢性肾脏病患者为数据分析对象,并按照数字随机方法分为对照和观察两组,每组180例。对照组实施常规护理,观察组实施常规护理加护理专案。比较两组低蛋白饮食落实率、自我管理能力;比较两组营养状态,包括体质指数(BMI)、血清前白蛋白(PA)、血红蛋白(Hb)以及血清白蛋白(ALB)。结果对比两组低蛋白饮食落实率,观察组明显高于对照组,组间差异有统计学意义(P<0.05)。对比两组自我管理能力评分,护理后观察组健康知识水平、自我概念、自护责任感、自我护理技能明显高于对照组,组间差异有统计学意义(P<0.05)。两组对比营养状态,护理后观察组BMI、PA、Hb以及ALB,明显高于对照组,组间差异有统计学意义(P<0.05)。结论采用护理专案对老年慢性肾脏病患者实施护理措施,其效果显著,能够显著缓解患者的营养状态,提高低蛋白饮食落实率,具有极高的临床应用价值。
Objective To explore effect of nursing projects on improving implementation rate of low protein diet of elderly patients with chronic kidney disease.Methods The paper chose 360 elderly patients with chronic kidney disease in our hospital from January 2022 to December 2023 as analysis subjects,and divided them into two groups randomly:control group and observation group,with 180 cases in each group.Control group was treated with routine nursing,while observation group with routine plus nursing projects.Implementation rate and self-management ability was compared between two groups.Nutritional status was compared between two groups,including body mass index(BMI),serum prealbumin(PA),hemoglobin(Hb),and serum albumin(ALB).Results Implementation rate of low protein diet was compared between two groups,that of bservation group was 99.44%,significantly higher than 91.67%in control group,(P<0.05).Self-management ability scores in observation group were(22.16±2.52)points in health knowledge level,(21.91±2.34)points in self-concept,(22.34±2.09)points in self-care responsibility,and(21.63±2.52)points in self-care skills,significantly higher than control group(P<0.05).After nursing,BMI(21.26±2.16)kg/m^(2),PA(65.72±19.27)mg/L,Hb(132.83±10.17)g/L,and ALB(42.76±4.19)g/L in observation group was significantly higher than control group(P<0.05).Conclusion Nursing scheme can achieve significant effect and improves implementation rate of low protein diets of elderly patients with chronic kidney disease,which is worthy of promotion and application on a large scale in clinical nursing schemes.
作者
盛娟
刘钊
SHENG Juan;LIU Zhao(Jiangsu Province Official Hospital,Nanjing,Jiangsu 210000)
出处
《智慧健康》
2024年第11期169-171,175,共4页
Smart Healthcare
关键词
护理专案
老年慢性肾脏病
低蛋白饮食
落实率
Nursing scheme
Elderly chronic kidney disease
Low protein diet
Implementation rate
