Effect of nursing intervention based on behavior change theory on compliance behavior and nutritional status of diet management in maintenance hemodialysis patients
SHI Zhenzhen TANG Jingfeng ZHUANG Jing
Department of Nephrology, the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University, Jiangsu Province，Huai’an 223300, China
Abstract：Objective To explore the effect of nursing intervention based on behavior change theory in diet management of maintenance hemodialysis patients (MHD). Methods A total of 112 patients with MHD admitted to the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University from January 2017 to December 2018 were selected. According to the dialysis time, they were divided into treatment group (January to December 2018) and control group (January to December 2017), with 56 cases in each group. The control group was given routine diet management intervention, and the treatment group was combined with intervention based on behavior change theory. Followed up for six months, the diet management compliance behavior, serum nutrition index and nutritional status of the two groups were compared. Results The scores of dietary management compliance such as fluid restriction in the two groups were significantly higher than that before intervention in the same group (P ＜ 0.05 or P ＜ 0.01). The scores of fluid restriction, potassium uptake management, self-care and difficulties in the treatment group were significantly higher than those in the control group, with statistically significant differences (P ＜ 0.05 or P < 0.01). The nutritional indexes of total protein (TP), albumin (ALB) and prealbumin (PA) in the two groups were significantly higher than those before intervention (P ＜ 0.05 or P ＜ 0.01); TP, ALB and PA levels in treatment group were significantly higher than those of the control group, and the differences were statistically significant (P ＜ 0.05); the incidence of malnutrition in the treatment group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The nursing intervention based on behavior change theory is helpful to promote the formation of MHD patients’ diet management compliance behavior, improve serum nutrition indicators, and reduce the incidence of malnutrition during hemodialysis.
侍珍珍 唐景凤 庄静. 基于行为转变理论的护理干预对维持性血液透析患者饮食管理依从行为及营养状况的影响[J]. 中国医药导报, 2020, 17(32): 169-172.
SHI Zhenzhen TANG Jingfeng ZHUANG Jing. Effect of nursing intervention based on behavior change theory on compliance behavior and nutritional status of diet management in maintenance hemodialysis patients. 中国医药导报, 2020, 17(32): 169-172.
2020, Vol. 17 
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