多学科团队协作营养管理模式在腹膜透析患者中的应用
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女,硕士,主管护师,护士长

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Application of the multidisciplinary team cooperative nutrition management model in peritoneal dialysis patients
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    摘要:

    目的 对腹膜透析患者实施多学科协作营养管理,以改善其营养状况。方法 根据患者入院时间将首次置管行腹膜透析患者分为两组,2018年1~5月收治的42例患者为对照组,按腹膜透析管理流程实施常规护理,由腹膜透析护士负责腹膜透析治疗、营养管理、延续护理等;2019年1~5月收治的45例患者为干预组,组建多学科营养管理团队,实施多学科协作营养管理。结果 干预组出院后1个月和6个月血红蛋白、血清白蛋白、血清总铁结合力、BMI、上臂肌围及营养不良炎症评分显著优于对照组,蛋白质-能量营养不良发生率显著低于对照组(P<0.05,P<0.01)。结论 对腹膜透析患者进行多学科协作营养管理,能有效改善腹膜透析患者营养水平,并能够强化护士在营养管理过程中的作用。

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    Objective To conduct multidisciplinary collaborative nutrition management for peritoneal dialysis patients, so as to improve their nutritional status. Methods Totally 87 patients undergoing first catheterization for peritoneal dialysis were divided into two groups chronologically, the 42 patients admitting from January to May 2018 were taken as a control group, and the peritoneal dialysis nurses were responsible for their peritoneal dialysis treatment, nutrition management, transitional care, etc., and another 45 patients admitting from January to May 2019 were regarded as an intervention group, and a multidisciplinary nutrition management team was established to conduct multidisciplinary cooperative nutrition management for the patients. Results At 1 and 6 months after discharge, the hemoglobin, serum albumin, serum total iron binding force, BMI, upper arm muscle circumference and malnutrition inflammation score of the intervention group were significantly better than those of the control group, and the incidence of protein energy wasting were significantly lower than those of the control group (P<0.05, P<0.01). Conclusion Implementing multidisciplinary collaborative nutrition management for peritoneal dialysis patients, can effectively improve patients′ nutritional status, and strengthen the role of nurses in nutrition management.

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刘晓琴,张春秀.多学科团队协作营养管理模式在腹膜透析患者中的应用[J].护理学杂志,2020,35(18):103-106

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  • 收稿日期:2020-02-03
  • 最后修改日期:2020-03-20
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  • 在线发布日期: 2022-09-06