探讨饮食干预在血液透析高磷血症患者护理中的效果 |
| 赖淑萍 |
| 吉安县人民医院血透室，江西吉安，343100 |
| 摘要：目的 探讨饮食干预在血液透析高磷血症患者护理中的效果。方法 选取2024 年6 月～2025 年6 月于我院接受治疗的血液透析高磷血症患者60 例，按随机数字表法分为2 组，即对照组（n=30 例，予常规护理）和观察组（n=30 例，予饮食干预）。对比两组血钙磷水平、低磷饮食健康信念以及对低磷饮食依从性情况。结果 干预后，观察组血钙、血磷及钙磷乘积指标显著低于对照组（P＜0.05）；两组各项低磷饮食健康信念评分对比，均为观察组更高（P 均＜0.05）；两组饮食依从性对比，观察组更高（P＜0.05）。结论 在血液透析高磷血症患者护理中实施饮食干预，可有效改善患者血钙磷水平，提升其对低磷饮食健康信念以及对低磷饮食依从性，临床应用价值显著。 |
| 关健词：饮食干预；血液透析；高磷血症；低磷饮食健康信念；低磷饮食依从性 |
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| Exploring the Effect of Dietary Intervention in the Care of Hemodialysis Patients with Hyperphosphatemia |
| Shuping Lai |
| Hemodialysis Unit, People's Hospital of Ji'an County, Ji'an Jiangxi 343100，China |
| Abstract: Objective To explore the effect of dietary intervention in the care of hemodialysis patients with hyperphosphatemia.Methods A total of 60 hemodialysis patients with hyperphosphatemia treated in our hospital from June 2024 to June 2025 were selected and divided into two groups according to the random number table method: a control group (n=30, receiving conventional care) and an observation group (n=30, receiving dietary intervention). The blood calcium and phosphorus levels, health beliefs regarding a low-phosphorus diet, and adherence to a low-phosphorus diet were compared between the two groups. Results After the intervention, the levels of blood calcium, blood phosphorus, and the calcium-phosphorus product in the observation group were significantly lower than those in the control group (P < 0.05). In terms of health belief scores regarding a low-phosphorus diet, the observation group showed higher scores in all items compared to the control group (all P < 0.05). Regarding dietary adherence, the observation group demonstrated higher adherence than the control group (P < 0.05). Conclusion Implementing dietary intervention in the care of hemodialysis patients with hyperphosphatemia can effectively improve their blood calcium and phosphorus levels, enhance their health beliefs regarding a low-phosphorus diet, and improve their adherence to a low-phosphorus diet. This approach demonstrates significant clinical application value. |
| Keywords：Dietary intervention; Hemodialysis; Hyperphosphatemia; Low-phosphorus diet health beliefs; Low-phosphorus diet adherence |
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