Department of Health Promotion, Maastricht University, Maastricht, The Netherlands.
Nutr Rev. 2014 Jul;72(7):471-82. doi: 10.1111/nure.12115. Epub 2014 Jun 11.
Strategies to enhance knowledge of and adherence to dietary guidelines for management of hyperphosphatemia in hemodialysis patients have been studied extensively over the past decade. This review is the first to compile all of them (2003-2013) and conduct a meta-analysis through calculation of effect size, with the aim of identifying the optimal nutrition education methods for effective management of hyperphosphatemia in hemodialysis patients. The following strategies were identified as being effective in changing dietary behavior: 1) use of self-evaluation and self-regulation techniques within educational tools, along with easy-to-apply skills; 2) individualized counseling by a renal dietitian provided just before the hemodialysis session; 3) high-intensity education; and 4) long duration of interventions. Future studies should focus on conducting randomized controlled trials with powered samples to help generate stronger evidence.
在过去十年中，广泛研究了增强血液透析患者高磷血症管理饮食指南知识和依从性的策略。这是首次对所有这些策略（2003-2013 年）进行编译并通过计算效应大小进行荟萃分析，旨在确定最有效的营养教育方法来有效管理血液透析患者的高磷血症。以下策略被确定为可有效改变饮食行为：1）在教育工具中使用自我评估和自我调节技术，并结合易于应用的技能；2）在血液透析治疗前由肾脏营养师进行个体化咨询；3）高强度教育；4）干预时间长。未来的研究应集中在进行具有有力样本的随机对照试验，以帮助产生更强有力的证据。
