健康信念模式在高磷血症患者血液透析饮食管理中的应用效果观察
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摘要
目的探讨健康信念模式在高磷血症患者血液透析饮食管理中的具体实施方法及临床效果。方法选取我院接诊的血液透析治疗高磷血症患者64例,随机分为对照组与观察组各32例,分别采取血液透析常规护理与引入健康信念模式的饮食管理,持续进行24周干预,观察干预前后患者的低磷饮食健康信念,以及服药、饮食知识及行为情况。结果对照组干预后的低磷饮食健康信念总分为(112.54±7.85)分,观察组干预后的低磷饮食健康信念总分为(117.70±6.81)分,差异有统计学意义(P<0.05)。对照组干预后的服药、饮食知识及行为得分为(20.23±4.01)分,观察组干预后的服药、饮食知识及行为得分为(25.34±4.06)分,差异有统计学意义(P <0.05)。结论将健康信念模式与饮食管理结合起来,可有效改善高磷血症患者血液透析期间的低磷饮食健康信念,改善饮食行为,维持健康的饮食习惯。
Objective To explore the specific implementation methods and clinical effect of health belief model in hemodialysis diet management of hyperphosphatemia patients. Methods 64 cases of hyperphosphatemia patients with hemodialysis treatment in our hospital were selected and randomly divided into two groups, with 32 cases in each group. The control group received hemodialysis routine nursing,and the observation group received hemodialysis diet with health belief model. Both groups received intervention for 24 weeks. Before and after intervention, the health beliefs of low-phosphorus diets, as well as situation of medication, dietary knowledge and behavior were observed. Results After intervention, the total score of health beliefs of low-phosphorus diets of the observation group was(117.70 ± 6.81)points, significantly higher than(112.54 ± 7.85) points of the control group(P <0.05). After intervention, the score of medication, dietary knowledge and behavior of the observation group was(25.34 ± 4.06) points, significantly higher than(20.23 ± 4.01) points of the control group(P <0.05). Conclusions The combination of the health belief model and diet management can effectively improve the health beliefs of low-phosphorus diets during hemodialysis in patients with hyperphosphatemia, improve diet behavior, and maintain healthy diet habits.
Objective To explore the specific implementation methods and clinical effect of health belief model in hemodialysis diet management of hyperphosphatemia patients. Methods 64 cases of hyperphosphatemia patients with hemodialysis treatment in our hospital were selected and randomly divided into two groups, with 32 cases in each group. The control group received hemodialysis routine nursing,and the observation group received hemodialysis diet with health belief model. Both groups received intervention for 24 weeks. Before and after intervention, the health beliefs of low-phosphorus diets, as well as situation of medication, dietary knowledge and behavior were observed. Results After intervention, the total score of health beliefs of low-phosphorus diets of the observation group was(117.70 ± 6.81)points, significantly higher than(112.54 ± 7.85) points of the control group(P <0.05). After intervention, the score of medication, dietary knowledge and behavior of the observation group was(25.34 ± 4.06) points, significantly higher than(20.23 ± 4.01) points of the control group(P <0.05). Conclusions The combination of the health belief model and diet management can effectively improve the health beliefs of low-phosphorus diets during hemodialysis in patients with hyperphosphatemia, improve diet behavior, and maintain healthy diet habits.
引文
[1]傅鐛榕,范颖.健康信念模式在老年2型糖尿病初期患者自我饮食管理中的应用[J].糖尿病新世界,2017,20(15):129-130.
[2]邹宝林,黄燕林,郭阳化.维持性血液透析高磷血症患者低磷饮食行为改变阶段健康信念调查[J].广东医学,2017,38(14):2206-2208.
[3]王莉.综合饮食护理干预在血液透析患者高磷血症中的应用[J].护理实践与研究,2016,13(20):40-41.
[4]Tsuchida K,Nagai K,Yokota N,et al.Impact of lanthanum carbonate on prognosis of chronic hemodialysis patients:a retrospective cohort study(Kawashima Study)[J].Ther Apher Dial,2016,20(2):142-148.
[5]杜爱燕,周薇,范建桢,等.维持性血液透析患者基于授权教育饮食管理的效果观察[J].护理学报,2017,24(8):65-68.
[6]施月仙.护士主导的强化健康教育对慢性肾脏病高磷血症患者的效果[D].天津:天津医科大学,2011.
[7]万琼红,万博,李玲玉,等.健康信念模式在冠心病患者健康宣教中的应用[J].中华护理教育,2016,13(10):739-742.
[8]鲍莉莉,张琳敏,徐晓敏,等.健康信念模式对白血病患者化疗患者自护能力及负性情绪的影响[J].国际精神病学杂志,2015,42(2):63-66.
[9]潘世芹,蒋燕燕,高前珍.饮食干预对维持性血液透析患者营养状况的影响[J].中华全科医学,2012,10(5):817-818.
[10]蒋梅,刘晓晨,张兰.健康信念模式在2型糖尿病患者行为改变中的应用[J].中华护理杂志,2010,45(9):807-810.
[11]Chen J,Zhou QY,Wang JD.Comparison between subtotal parathyroidectomy and total parathyroidectomy with autotransplantation for secondary hyperparathyroidism in patients with chronic renal failure:a meta-analysis[J].Horm Metab Res,2015,47(9):643-651.
[12]Cupisti A,D'Alessandro C,Di Iorio B,et al.Nutritional support in the tertiary care of patients affected by chronic renal insufficiency:report of a step-wise,personalized,pragmatic approach[J].BMC Nephrol,2016,17(1):124-133.
[13]Komaba H,Kakuta T,Suzuki H,et al.Survival advantage of lanthanum carbonate for hemodialysis patients with uncontrolled hyperphosphatemia[J].Nephrol Dial Transplant,2015,30(1):107-114.
[2]邹宝林,黄燕林,郭阳化.维持性血液透析高磷血症患者低磷饮食行为改变阶段健康信念调查[J].广东医学,2017,38(14):2206-2208.
[3]王莉.综合饮食护理干预在血液透析患者高磷血症中的应用[J].护理实践与研究,2016,13(20):40-41.
[4]Tsuchida K,Nagai K,Yokota N,et al.Impact of lanthanum carbonate on prognosis of chronic hemodialysis patients:a retrospective cohort study(Kawashima Study)[J].Ther Apher Dial,2016,20(2):142-148.
[5]杜爱燕,周薇,范建桢,等.维持性血液透析患者基于授权教育饮食管理的效果观察[J].护理学报,2017,24(8):65-68.
[6]施月仙.护士主导的强化健康教育对慢性肾脏病高磷血症患者的效果[D].天津:天津医科大学,2011.
[7]万琼红,万博,李玲玉,等.健康信念模式在冠心病患者健康宣教中的应用[J].中华护理教育,2016,13(10):739-742.
[8]鲍莉莉,张琳敏,徐晓敏,等.健康信念模式对白血病患者化疗患者自护能力及负性情绪的影响[J].国际精神病学杂志,2015,42(2):63-66.
[9]潘世芹,蒋燕燕,高前珍.饮食干预对维持性血液透析患者营养状况的影响[J].中华全科医学,2012,10(5):817-818.
[10]蒋梅,刘晓晨,张兰.健康信念模式在2型糖尿病患者行为改变中的应用[J].中华护理杂志,2010,45(9):807-810.
[11]Chen J,Zhou QY,Wang JD.Comparison between subtotal parathyroidectomy and total parathyroidectomy with autotransplantation for secondary hyperparathyroidism in patients with chronic renal failure:a meta-analysis[J].Horm Metab Res,2015,47(9):643-651.
[12]Cupisti A,D'Alessandro C,Di Iorio B,et al.Nutritional support in the tertiary care of patients affected by chronic renal insufficiency:report of a step-wise,personalized,pragmatic approach[J].BMC Nephrol,2016,17(1):124-133.
[13]Komaba H,Kakuta T,Suzuki H,et al.Survival advantage of lanthanum carbonate for hemodialysis patients with uncontrolled hyperphosphatemia[J].Nephrol Dial Transplant,2015,30(1):107-114.