CAJ | 학술논문

目的：探讨提高患者营养治疗依从性对延缓肾功能损害的影响。方法将60例慢性肾脏病住院患者分为干预组30例、对照组30例，对照组常规对患者进行临床常规治疗，干预组在此基础上进行营养知识相关健康教育及监督实施，即通过营养评估、食谱制定、饮食指导及干预等全方位的营养管理，收集并分析干预后1个月、3个月、6个月患者肾小球率过率（GFR）值。结果干预后干预组1个月、3个月、6个月患者GFR平均下降值明显低于对照组，差异有统计学意义（均P<0﹒01）。结论提高患者对于营养治疗的依从性，从而使患者主动实施营养治疗，可以有效的降低GFR值，延缓肾脏功能的损伤，对慢性肾脏病患者是非常必要且十分关键的措施。
목적：탐토제고환자영양치료의종성대연완신공능손해적영향。방법장60례만성신장병주원환자분위간예조30례、대조조30례，대조조상규대환자진행림상상규치료，간예조재차기출상진행영양지식상관건강교육급감독실시，즉통과영양평고、식보제정、음식지도급간예등전방위적영양관리，수집병분석간예후1개월、3개월、6개월환자신소구솔과솔（GFR）치。결과간예후간예조1개월、3개월、6개월환자GFR평균하강치명현저우대조조，차이유통계학의의（균P<0﹒01）。결론제고환자대우영양치료적의종성，종이사환자주동실시영양치료，가이유효적강저GFR치，연완신장공능적손상，대만성신장병환자시비상필요차십분관건적조시。
ObjectiveTo investigate improvement of nutritional therapy compliance of patients to delay renal function damage﹒ Method divide 60 hospitalized patients with chronic kidney disease randomly into intervention group 30 cases and control group, 30 cases﹒ Control group was applied for clinical routine treatment, and Intervention group was applied for nutrition knowledge and health education and supervision and implementation on routine treatment basis, through comprehensive nutrition management of nutrition assessment, diet formulation, dietary guidance and intervention, collect and analyze glomerular filtration rate(GFR) of patients in 1, 3 and 6 months after intervention﹒Result average decrease value of GFR of intervention group was significantly lower than control group 1 month, 3 months and 6 months after intervention, and the difference shows statistical significance (P<0﹒01)﹒ Conclusion improving compliance of patients for nutrition and helping patients with active nutrition treatment can effectively lower GFR value, delay kidney function damage, which is a necessary and key measure for patients with chronic kidney disease.