Dialysis and Nutrition: Optimizing Dietary Support for Patients Undergoing Blood Purification

Lei Xiao, Meijuan Zhu, Juan Chen, Li Chen, Mingxia Lin, Huihui Han, Jinrong Wu
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Abstract

This study evaluated the effectiveness of individualized dietary interventions in improving the nutritional status and general health of individuals undergoing dialysis. A total of 120 patients undergoing dialysis were equally allocated to the Standard Care Group and Intervention Group. The recipients of individualized dietary counseling had their plans modified monthly in accordance with their nutritional needs, personal preferences, and clinical circumstances. Nutritional adherence, biochemical parameters, clinical outcomes, and quality of life were evaluated and compared between groups. At baseline, both groups exhibited comparable demographic characteristics. Compared to baseline values, the Intervention Group showed substantial enhancements in albumin, hemoglobin, potassium, and phosphorus levels after six months (P < 0.05). The Intervention Group had a considerably higher rate of adherence to dietary recommendations than the Standard Care Group (92% vs. 75%, P < 0.01). Nutritional intake analyses revealed a noteworthy enhancement in energy and protein consumption, while sodium, potassium, and phosphorus intake decreased (P < 0.05). The results of the quality-of-life evaluation demonstrated notable improvements in physical, emotional, social, and overall health perception scores (P < 0.05). Thus, personalized dietary interventions substantially improve the nutritional status, biochemical profile, and overall quality of life of patients undergoing dialysis.
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透析与营养:优化血液净化患者的饮食支持
这项研究评估了个性化饮食干预对改善透析患者营养状况和总体健康的效果。共有 120 名透析患者被平均分配到标准护理组和干预组。接受个体化饮食咨询的患者每月都会根据其营养需求、个人偏好和临床情况修改计划。对两组患者的营养依从性、生化指标、临床疗效和生活质量进行了评估和比较。在基线值上,两组的人口统计学特征相当。与基线值相比,干预组的白蛋白、血红蛋白、钾和磷水平在 6 个月后有显著提高(P < 0.05)。干预组对饮食建议的坚持率大大高于标准护理组(92% 对 75%,P < 0.01)。营养摄入分析显示,能量和蛋白质的摄入量显著增加,而钠、钾和磷的摄入量则有所减少(P < 0.05)。生活质量评估结果显示,身体、情绪、社交和整体健康感知评分均有明显改善(P < 0.05)。由此可见,个性化饮食干预能显著改善透析患者的营养状况、生化指标和整体生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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