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饮食教育对设拉子哈贾尔医院收治的血液透析患者血压变化及透析间期体重的影响。

Effect of diet education on blood pressure changes and interdialytic weight in hemodialysis patients admitted in hajar hospital in shahrekord.

作者信息

Jafari Fatemeh, Mobasheri Mahmoud, Mirzaeian Razieh

机构信息

Shahrekord University of Medical Sciences, Shahrekord, Iran.

Department of Epidemiology and Biostatistics, Faculty of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

Mater Sociomed. 2014 Oct;26(5):318-20. doi: 10.5455/msm.2014.26.318-320. Epub 2014 Oct 29.

Abstract

BACKGROUND AND AIM

Nutrition is a key factor in the treatment of patients with chronic kidney disease because kidney burden decrease causes uremic reduction and its side effects. The aim of this research is to examine the effect of diet education on blood pressure changes and interdialytic weight in Hemodialysis patients admitted to Hemodialysis ward of Hajar hospital in Shahrekord.

METHODS

This quasi-experimental and interventional study of 100 dialysis patients referred to Hemodialysis ward of Hajar hospital was performed in a pre-test and post-test in 2011. Diet education, including face to face training with instruction booklets, were conducted in the two sessions. Having carried out the educational program, blood pressure and interdialytic weight gain were measured and recorded one month before and during three stages and after the educational program by researcher-designed checklists. The data were analyzed through Spss16 software by Paired t-test and ANOVA.

RESULTS

The results showed that mean of primary weight of the patients increase from 66.15±15.10 to 64.43±14.67. Mean of Systolic and diastolic blood pressure in patients in three stages were reduced to 6.65±1.51 mmg 2.24±1.82 mmg respectively. There was a significant difference between the creatinine amount in patients before and after of training (p≤0.01) but no meaningful difference was observed between the BUN amount before and after of training (p≤0.031).

CONCLUSION

Training to patients underwent hemodialysis in order to observe diet and its effects on improvement in treatment are of significant importance.

摘要

背景与目的

营养是慢性肾病患者治疗的关键因素,因为减轻肾脏负担可减少尿毒症及其副作用。本研究旨在探讨饮食教育对设拉子哈贾尔医院血液透析病房收治的血液透析患者血压变化和透析间期体重的影响。

方法

本研究为针对转诊至哈贾尔医院血液透析病房的100例透析患者的半实验性干预研究,于2011年进行了前测和后测。饮食教育包括面对面培训和发放指导手册,分两个阶段进行。在实施教育计划后,研究人员通过自行设计的检查表,在教育计划实施前、三个阶段期间及实施后一个月测量并记录血压和透析间期体重增加情况。数据通过Spss16软件进行配对t检验和方差分析。

结果

结果显示,患者初始体重均值从66.15±15.10增加至64.43±14.67。三个阶段患者的收缩压和舒张压均值分别降至6.65±1.51 mmHg和2.24±1.82 mmHg。患者训练前后肌酐水平存在显著差异(p≤0.01),但训练前后尿素氮水平无显著差异(p≤0.031)。

结论

对接受血液透析的患者进行培训,以观察饮食及其对治疗改善的影响非常重要。

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