Department of Organ Transplantation, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China.
J Healthc Eng. 2022 Mar 15;2022:1120242. doi: 10.1155/2022/1120242. eCollection 2022.
To explore the effects of systematic diet education combined with multidisciplinary nursing on nutritional status and calcium and phosphorus metabolism in patients with diabetic kidney disease (DKD) in uremic phase after treatment with alogliptin.
A total of 90 DKD patients with uremia admitted to our hospital from January 2020 to January 2021 were selected as the research objects. The subjects were divided into combined group and routine group by random number table method. All patients received alogliptin medication. The combination group received systematic dietary education combined with multidisciplinary nursing after the medication, and the conventional group received conventional intervention. Serum albumin, blood calcium, and other indexes were detected between both groups after intervention.
After intervention, compared with the conventional group, all nutritional indexes of the combined group were obviously higher, levels of serum phosphorus and calcium-phosphorus product of the combined group were obviously lower ( < 0.001), the incidence of hypoglycemia and hyperglycemia of the combined group was obviously lower ( < 0.05), the total compliance rate of the combined group was obviously higher ( < 0.05), and the SAS score of the combined group was obviously lower ( < 0.001).
With conspicuous intervention effect, systematic diet education combined with multidisciplinary nursing is a reliable method that can improve the nutritional status and levels of calcium and phosphorus metabolism, enhance treatment compliance, and reduce anxiety. Further research will help to provide a better solution for patients. This trial is registered with ChiCTR2200057011.
探讨在接受阿格列汀治疗后，对伴有糖尿病肾病（DKD）的尿毒症期患者进行系统饮食教育联合多学科护理对其营养状况及钙磷代谢的影响。
选取 2020 年 1 月至 2021 年 1 月我院收治的 90 例伴有尿毒症的 DKD 患者作为研究对象，采用随机数字表法将其分为联合组和常规组。所有患者均接受阿格列汀治疗，联合组在用药后接受系统饮食教育联合多学科护理，常规组接受常规干预。干预后比较两组患者的血清白蛋白、血钙等指标。
干预后，与常规组比较，联合组的各项营养指标均明显升高，血清磷和钙磷乘积水平明显降低（ < 0.001），低血糖和高血糖的发生率明显降低（ < 0.05），总依从率明显升高（ < 0.05），焦虑评分明显降低（ < 0.001）。
系统饮食教育联合多学科护理干预效果显著，能改善患者的营养状况及钙磷代谢水平，提高治疗依从性，减轻焦虑，为患者提供更好的解决方案。该研究已在 ChiCTR2200057011 注册。
