中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2015年
7期
857-860
,共4页
慢性肾脏病%营养门诊%依从性
慢性腎髒病%營養門診%依從性
만성신장병%영양문진%의종성
Chronic Kidney Disease%nutrition clinic%compliance
目的:调查慢性肾脏病(Chronic Kidney Disease,CKD)3~5期患者营养门诊复诊依从性,分析其影响因素,以改进护理工作质量,更好地发挥饮食营养治疗在CKD患者康复中的作用.方法:回顾分析 2007年1月至2012年12月我院肾病营养门诊建档患者(468例)资料,总结其结局及复诊情况.用Logistic回归探索患者建档时的人口学资料、家庭支持、基础肾功能情况以及血清白蛋白水平对复诊依从性的影响;并对依从性差者的主观原因进行分析.结果:468例CKD3~5期患者中,仍在接受随访的213例患者资料纳入统计分析,年龄(47.16±13.79)岁,随访时间为(26.85±22.37)个月.其中复诊依从性好者64例,占30.05%.Logistic回归显示,家庭支持(OR=2.448,P<0.001)、建档时的eGFR(OR=0.638,P=0.038)和Alb(OR=0.932,P=0.043)纳入方程,家庭支持越高者,复诊依从性越好;eGFR和Alb与家庭支持呈负相关,建档时肾小球滤过率及血清白蛋白情况越差的患者,随访依从性相对越好.通过与依从性差者的沟通,得到8个影响复诊依从性的主题,可见依从性差的CKD患者缺乏饮食营养监测及长期管理意识.结论:CKD3~5期患者饮食营养门诊复诊依从性有待提高.护理工作中应加强家属教育,着重提高患者及家属的饮食管理和营养监测意识和家庭支持力度,并结合患者的肾功能和营养情况,分级分层管理,加强肾病饮食营养门诊在CKD患者管理中的作用,有效预防营养不良的发生.
目的:調查慢性腎髒病(Chronic Kidney Disease,CKD)3~5期患者營養門診複診依從性,分析其影響因素,以改進護理工作質量,更好地髮揮飲食營養治療在CKD患者康複中的作用.方法:迴顧分析 2007年1月至2012年12月我院腎病營養門診建檔患者(468例)資料,總結其結跼及複診情況.用Logistic迴歸探索患者建檔時的人口學資料、傢庭支持、基礎腎功能情況以及血清白蛋白水平對複診依從性的影響;併對依從性差者的主觀原因進行分析.結果:468例CKD3~5期患者中,仍在接受隨訪的213例患者資料納入統計分析,年齡(47.16±13.79)歲,隨訪時間為(26.85±22.37)箇月.其中複診依從性好者64例,佔30.05%.Logistic迴歸顯示,傢庭支持(OR=2.448,P<0.001)、建檔時的eGFR(OR=0.638,P=0.038)和Alb(OR=0.932,P=0.043)納入方程,傢庭支持越高者,複診依從性越好;eGFR和Alb與傢庭支持呈負相關,建檔時腎小毬濾過率及血清白蛋白情況越差的患者,隨訪依從性相對越好.通過與依從性差者的溝通,得到8箇影響複診依從性的主題,可見依從性差的CKD患者缺乏飲食營養鑑測及長期管理意識.結論:CKD3~5期患者飲食營養門診複診依從性有待提高.護理工作中應加彊傢屬教育,著重提高患者及傢屬的飲食管理和營養鑑測意識和傢庭支持力度,併結閤患者的腎功能和營養情況,分級分層管理,加彊腎病飲食營養門診在CKD患者管理中的作用,有效預防營養不良的髮生.
목적:조사만성신장병(Chronic Kidney Disease,CKD)3~5기환자영양문진복진의종성,분석기영향인소,이개진호리공작질량,경호지발휘음식영양치료재CKD환자강복중적작용.방법:회고분석 2007년1월지2012년12월아원신병영양문진건당환자(468례)자료,총결기결국급복진정황.용Logistic회귀탐색환자건당시적인구학자료、가정지지、기출신공능정황이급혈청백단백수평대복진의종성적영향;병대의종성차자적주관원인진행분석.결과:468례CKD3~5기환자중,잉재접수수방적213례환자자료납입통계분석,년령(47.16±13.79)세,수방시간위(26.85±22.37)개월.기중복진의종성호자64례,점30.05%.Logistic회귀현시,가정지지(OR=2.448,P<0.001)、건당시적eGFR(OR=0.638,P=0.038)화Alb(OR=0.932,P=0.043)납입방정,가정지지월고자,복진의종성월호;eGFR화Alb여가정지지정부상관,건당시신소구려과솔급혈청백단백정황월차적환자,수방의종성상대월호.통과여의종성차자적구통,득도8개영향복진의종성적주제,가견의종성차적CKD환자결핍음식영양감측급장기관리의식.결론:CKD3~5기환자음식영양문진복진의종성유대제고.호리공작중응가강가속교육,착중제고환자급가속적음식관리화영양감측의식화가정지지력도,병결합환자적신공능화영양정황,분급분층관리,가강신병음식영양문진재CKD환자관리중적작용,유효예방영양불량적발생.
Objective: To evaluate follow-up compliance of patients with CKD stage 3-5 in the nutrition clinic, and explore its related factors. Methods: The data of 468 patients with CKD stage 3-5 who got nutrition ifles created from January 2007 to December 2012 were retrospectively analyzed. Logistic regression was used to analyze the inlfuencing factors of follow-up compliance. Patients' demographic data, family support, baseline renal function and serum albumin level were all included in the analysis. At the same time, the subjective reasons of poor adherence were explored. Results: There were 213 cases that still got follow-up at present. Their data were included in this analysis. Their average follow-up time was (26.85±22.37) months, average age (47.16±13.79), 64 cases (30.05%) had regular follow-up. The Logistic regression analysis showed that family support (OR=2.448,P<0.001), eGFR (OR=0.638,P=0.038), Alb (OR=0.932,P=0.043) were inlfuencing factors of follow-up compliance. Family support had positive correlation with the follow-up compliance. While eGFR and Alb level had negative correlation with the compliance. Eight themes were obtained after interviewing with the patients with poor compliance, and it was found that those patients had not recognized the importance of long-term nutrition management yet. Conclusion: The follow-up compliances of patients with CKD stage 3-5 in the nutrition clinic need to be improved. Nursing education of patient's family should be strengthened to increase their consciousness of the diet nutrition monitoring and management. Hierarchical management according to patients' kidney function and nutrition level should be implemented to prevent malnutrition effectively.
