Abstract: Objective To observe the influence of empowerment education model on calcium- phosphate metabolism and nutritional status in maintenance hemodialysis (MHD) patients with abnormal mineral and bone metabolism. Methods We established a team for empowerment education model. A total of 60 MHD patients treated in our blood purification center from June 2015 to June 2016 were enrolled in this study. After the intervention with empowerment education model for 12 weeks, the values of serum calcium and phosphorus, calcium-phosphorus product, iPTH, hemoglobin, plasma albumin, prealbumin, triceps skinfold thickness, and mid-arm muscle circumference were compared before and after the intervention. Results After the intervention of empowerment education model, the levels of serum calcium and serum phosphorus, calcium-phosphorus product, iPTH decreased (t=0.017, P=0.002), the levels of Hb (t=-1.267, P=0.039), albumin (t=-1.051, P=0.045) and triceps skinfold thickness (t=-2.546, P= 0.009) increased, but the change of midarm muscle circumference was statistically insignificant (t=-1.056, P=0.736). Conclusion Empowerment education model can improve calcium-phosphate metabolism and nutritional status in MHD patients with abnormal mineral and bone metabolism.

Key words: Empowerment education model, Hemodialysis, Parathyroid hormone, Serum albumin