Nadri Abderrahim, Khanoussi Ayoub, Hssaine Youssef, Chettati Mariam, Fadili Wafaa, Laouad Inass
Service de néphrologie, hémodialyse et transplantation rénale, CHU Mohamed VI, 40000 Marrakech, Maroc.
Service de néphrologie, hémodialyse et transplantation rénale, CHU Mohamed VI, 40000 Marrakech, Maroc.
Nephrol Ther. 2020 Nov;16(6):353-358. doi: 10.1016/j.nephro.2020.03.011. Epub 2020 Oct 31.
Most chronic hemodialysis patients do not adhere to diet and fluid restrictions, source of clinical complications in the medium and long term, in some cases fatal, this study was conducted to investigate the effect of the training program given to these patients on their adherence to diet and fluid restrictions.
The study was conducted with 50 people, split into 2 groups, set up on a control group with 25 people. No education program has been set up, and the second group with 25 people assigned to the intervention having received an education program. Data were collected using the sociodemographic characteristics questionnaire, dialysis diet and fluid non-adherence questionnaire (DDFQ), and fluid control in hemodialysis patients scale (FCHPS).
The measurements made at the end of the education program revealed a statistically significant difference in favor of the intervention group in terms of the mean values for the patients interdialytic weight gain (kg), ultrafilration volume and diastolic blood pressure. Similarly, the means of the scores for the 4 items of the DDFQ questionnaire revealed a statistically significant difference in favor of the intervention group concerning: the frequency of non-adherence to the diet, the degree of non-adherence to the diet, the frequency of non-adherence to liquid restriction and the degree of non-adherence to liquid restriction.
This monocentric work shows that the establishment of an educational program has a positive impact on patients adherence to dietary measures and restriction of fluids.
大多数慢性血液透析患者不遵守饮食和液体限制，这是中长期临床并发症的来源，在某些情况下甚至会致命。本研究旨在调查对这些患者进行培训计划对其遵守饮食和液体限制的影响。
该研究共纳入50人，分为2组，其中25人作为对照组，未设置教育计划；另一组25人作为干预组，接受了教育计划。通过社会人口学特征问卷、透析饮食和液体不依从问卷（DDFQ）以及血液透析患者液体控制量表（FCHPS）收集数据。
教育计划结束时的测量结果显示，干预组在患者透析间期体重增加（kg）、超滤量和舒张压的平均值方面存在统计学上的显著差异，有利于干预组。同样，DDFQ问卷4项得分的平均值显示，在以下方面干预组也存在统计学上的显著差异，有利于干预组：饮食不依从频率、饮食不依从程度、液体限制不依从频率和液体限制不依从程度。
这项单中心研究表明，制定教育计划对患者遵守饮食措施和液体限制有积极影响。
