中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (02): 166-171.doi: 10.3969/j.issn.1671-4091.2025.02.015

• 护理研究 • 上一篇    下一篇

维持性透析患者饮食依从行为干预研究进展：基于体力活动与饮食行为改变技术分类法

曹峻钧   陶幸娟   

  1. 200025 上海，1上海交通大学护理学院
  • 收稿日期:2024-06-24 修回日期:2024-11-07 出版日期:2025-02-12 发布日期:2025-02-12
  • 通讯作者: 陶幸娟 E-mail:tao.xingjuan@shsmu.edu.cn
  • 基金资助:
    上海交通大学护理学院本科毕业设计基金(HLBKBSJJ22-04)；上海交通大学医学院护理科研重点项目(Jyhz2201)

Research progress on the intervention of dietary adherence behavior in maintenance dialysis patients: based on the CALO-RE taxonomy

CAO Jun-jun, TAO Xing-juan   

  1. School of Nursing, Shanghai Jiaotong University, Shanghai 20025, China
  • Received:2024-06-24 Revised:2024-11-07 Online:2025-02-12 Published:2025-02-12
  • Contact: 200025 上海，1上海交通大学护理学院 E-mail:tao.xingjuan@shsmu.edu.cn

摘要： 目的 分析维持性透析患者饮食依从行为的干预策略。 方法 通过计算机检索Pubmed、Embase、Web of Science、中国知网、中国生物医学文献数据库、万方等数据库中维持性透析患者饮食依从行为干预的随机对照研究，并使用体力活动与饮食行为改变技术分类法统一编码干预策略。 结果 共纳入13篇文献，涵盖26种行为改变技术，主要包括提供有关一般行为后果的信息(流行病学)(76.9%)、提供行为带来的个人结局信息(身心健康)(53.8%)、行为情况监测(46.2%)、提供如何执行行为的指导(38.5%)、社会支持(38.5%)。9篇文献使用超过3种干预策略，4篇使用1～3种干预策略。 结论 维持性透析患者饮食依从行为干预均为复杂干预模式，干预策略组合多样。测评工具及干预策略异质性较大、远程饮食管理干预发展前景机遇与挑战并存，需进一步探索改善维持性透析患者饮食依从行为的干预措施并形成简单、经济、有效的干预策略组合。

关键词: 维持性透析, 饮食行为, 依从性

Abstract: Objective To analyze the intervention strategies of dietary adherence behavior in maintenance dialysis patients.  Methods Pubmed, Embase, Web of Science, CNKI, CBM, Wanfang and other databases were searched for randomized controlled studies on the intervention of dietary adherence behavior in maintenance dialysis patients. The intervention strategies were uniformly coded by using the CALO-RE taxonomy.  Results  A total of 13 articles were included, covering 26 behavior change techniques, mainly including “provide information on consequences of behavior in general” (76.9%), “provide information on consequences of behavior to the individual” (53.8%), “prompt self-monitoring of behavior” (46.2%), “provide instruction on how to perform the behavior” (38.5%), and “plan social support/social change” (38.5%). A total of 9 articles used more than 3 interventions, and 4 articles used 1 to 3 intervention strategies.  Conclusion The intervention of dietary adherence behavior in maintenance dialysis patients belongs to the complex intervention modes, and the intervention strategies can be combined variously. The assessment tools and intervention strategies for dietary adherence behavior also vary greatly. The opportunities coexist with challenges in prospect of remote dietary adherence behavior intervention. The strategies of dietary adherence behavior intervention need to be further ameliorated to form a comprehensive strategy with simple, cost-effective, and efficient characteristics.

Key words: Maintenance dialysis, Dietary behavior, Adherence

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