CAJ | 학술논문

目的：以循证护理为基础，采用健脾益肾方治疗血液透析患者营养不良的情况，观察维持性血液透析患者护理干预后的营养改善效果。方法采用改良定量营养状况主观评估法（MQS-GA），筛选出40例患者，通过采用循证护理与健脾益肾方进行为期3个月的护理干预，拟通过确定问题、寻求循证支持、原因分析、制定护理方案，评价干预前后血液透析患者的营养状况。结果干预后血液透析患者的体重、上臂肌围和三头肌皮褶厚度显著大于干预前血液透析患者的体重、上臂肌围和三头肌皮褶厚度，干预前后比较，差异有统计学意义（P ﹤0.05），且不会产生并发症，并对血液透析患者的血生化和血常规没有显著的影响。结论通过循证护理实施护理干预，能有效改善维持性血液透析患者的营养状况，值得临床护理中大力推广。
목적：이순증호리위기출，채용건비익신방치료혈액투석환자영양불량적정황，관찰유지성혈액투석환자호리간예후적영양개선효과。방법채용개량정량영양상황주관평고법（MQS-GA），사선출40례환자，통과채용순증호리여건비익신방진행위기3개월적호리간예，의통과학정문제、심구순증지지、원인분석、제정호리방안，평개간예전후혈액투석환자적영양상황。결과간예후혈액투석환자적체중、상비기위화삼두기피습후도현저대우간예전혈액투석환자적체중、상비기위화삼두기피습후도，간예전후비교，차이유통계학의의（P ﹤0.05），차불회산생병발증，병대혈액투석환자적혈생화화혈상규몰유현저적영향。결론통과순증호리실시호리간예，능유효개선유지성혈액투석환자적영양상황，치득림상호리중대력추엄。
Objective To observe the effect of the evidence - based nursing intervention on malnu-trition in the patients with maintenance hemodialysis(MHD)by adopting the therapeutic method of the formu-la for strengthening the spleen and benefiting the kidney. Methods The modified quantitative subjective global assessment(MQSGA)was adopted. Forty patients were collected. The evidence - based nursing inter-vention and the therapeutic method of strengthening the spleen and benefiting the kidney adopted were adopt-ed and lasted for 3 months. Through question determination,seeking of evidence support,reason analysis and implementation of nursing scheme,the nutrient state of the MHD patients was evaluated before and after as-sessment. Results After intervention,the body weight,muscular circumference of upper limb and the skin fold thickness of triceps of the MHD patients were different significantly as compared with those before inter-vention(P ﹤ 0. 05). The intervention did not induce complications and significant impacts on blood biochemi-cal indexes and blood routine indexes in the patients. Conclusion The evidence - based nursing intervention effectively improves the nutrition of the MHD patients and this therapy is worth promoting in clinical nursing.