中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (12): 931-934.doi: 10.3969/j.issn.1671-4091.2022.12.015

• 护理研究 • 上一篇    下一篇

居家腹膜透析患者饮食管理软件的研制与应用

汪海燕    席惠君    赵丽芳    王铁云    杜 俊    赖学莉    郭志勇    陆小英   

  1. 200433 上海，海军军医大学第一附属医院1肾内科 2护理部
  • 收稿日期:2022-06-30 修回日期:2022-09-05 出版日期:2022-12-12 发布日期:2022-12-12
  • 通讯作者: 陆小英 E-mail:luxiaoyingjoy@163.com
  • 基金资助:

    海军军医大学护理学高峰学科青年培育工程立项课题(18QPFH10)

    国家专利：国家发明专利（201810209210.X)

Development and application of a dietary management software for peritoneal dialysis patients at home 

WANG Hai-yan, XI Hui-jun, ZHAO Li-fang, WANG Tie-yun, DU jun, LAI Xue-li, GUO Zhi-yong, LU Xiao-ying   

  1. Department of Nephrology and  2Department of Nursing, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
  • Received:2022-06-30 Revised:2022-09-05 Online:2022-12-12 Published:2022-12-12
  • Contact: 200433 上海，海军军医大学第一附属医院2护理部 E-mail:luxiaoyingjoy@163.com

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摘要： 目的  探讨腹膜透析(peritoneal dialysis，PD)患者饮食管理软件在居家PD患者中的应用效果。 方法  选取2020年7～12月在海军军医大学第一附属医院PD中心规律随访的患者，通过随机数字法分为试验组和对照组各35例，对照组采用常规随访管理，试验组在常规随访管理中加用饮食管理软件，随访3个月，比较2组患者的血清白蛋白、血磷及血钾的相关观察指标。 结果  与对照组相比，随访3月后试验组患者的血清白蛋白高于对照组(t=2.101，P=0.040)，血磷低于对照组(t=-2.054，P=0.044)，试验组血清白蛋白较前升高(t=3.226，P=0.002)，血磷下降(t=2.007，P=0.049)，随访期间试验组血钾异常发生率较低(χ2=3.913，P=0.048)。 结论  饮食管理软件可以帮助指导患者进餐，有效改善PD患者的血清白蛋白、血磷的水平，降低血钾异常的发生率。

关键词: 腹膜透析, 饮食, 软件, 居家

Abstract: Objective  To explore the application effect of a diet management software for peritoneal dialysis (PD) patients at home.  Methods   Patients regularly followed up in the Peritoneal Dialysis Center, The First Affiliated Hospital, Naval Medical University between July and December 2020 were recruited as the research subjects. They were divided into experimental group (n=35) and control group (n=35) by random number method. The control group received routine follow-up management, and the experimental group used the dietary management software. They were followed up for 3 months. Serum albumin and potassium, and blood phosphorus were compared between the two groups.  Results  Compared to the control group, serum albumin was higher (t=2.101, P=0.040) and serum phosphorus was lower (t=-2.054, P=0.044) in the experimental group after the intervention for 3 months. In the experimental group, serum albumin became higher (t=3.226, P=0.002) and serum phosphorus became lower (t=2.007, P=0.049) after the intervention for 3 months. The prevalence of abnormal serum potassium in the follow-up period was lower in the experimental group (χ2=3.913, P=0.048).  Conclusion  The dietary management software can help PD patients have rational dietary, improve serum albumin and blood phosphorus, and reduce the incidence of abnormal blood potassium.

Key words: Peritoneal dialysis, Diet, Software, At home

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