Use of the Omaha System nursing model on nutritional status outcomes in peritoneal dialysis patients.

IF 1.1 4区医学 Q3 UROLOGY & NEPHROLOGY Clinical nephrology Pub Date : 2024-11-01 DOI:10.5414/CN111385

Cen Zhang, Ruo Zhuang, Xiao-Lei Chen, Xiao-Dong Cao, Meng-Ting Xue

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Abstract

Objective: To construct and apply a risk screening and intervention system for malnutrition in peritoneal dialysis patients based on the Omaha System.

Materials and methods: A total of 75 peritoneal dialysis patients were randomly divided into control (38 cases) and intervention group (37 cases). The control group received routine operation training and health education, and the intervention group implemented a nutritional management plan based on the Omaha System. The modified quantitative subjective comprehensive nutritional scale (MQSGA) score, kidney disease dietary compliance attitude (RAAQ) and behavior (RABQ) score, body mass index (BMI), serum albumin (ALB), prealbumin (PA), and hemoglobin (Hb) were observed.

Results: Before intervention, there was no significant difference in these indicators between the two groups (p > 0.05). After 6 months, the MQSGA score in the intervention group was significantly lower than that in the control group (p < 0.05). RAAQ score and RABQ score in the intervention group were higher than those in the control group and (p < 0.05), and the nutritional indicators in the intervention group, such as BMI, ALB, PA, and Hb, were higher than those in the control group (p < 0.05).

Conclusion: A nutritional management plan based on the Omaha System can help improve the nutrition condition of peritoneal dialysis patients, and improve the dietary compliance of chronic kidney disease patients.

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奥马哈系统护理模式对腹膜透析患者营养状况的影响。

目的：根据奥马哈系统构建并应用腹膜透析患者营养不良风险筛查和干预系统：以奥马哈系统为基础，构建并应用腹膜透析患者营养不良风险筛查和干预系统：将 75 例腹膜透析患者随机分为对照组（38 例）和干预组（37 例）。对照组接受常规操作培训和健康教育，干预组实施基于奥马哈系统的营养管理计划。观察改良定量主观综合营养量表（MQSGA）评分、肾病饮食依从性态度（RAAQ）和行为（RABQ）评分、体重指数（BMI）、血清白蛋白（ALB）、前白蛋白（PA）和血红蛋白（Hb）：结果：干预前，两组患者的上述指标无明显差异（P>0.05）。6 个月后，干预组的 MQSGA 评分明显低于对照组（P 结论：干预组的 MQSGA 评分明显高于对照组（P基于奥马哈系统的营养管理计划有助于改善腹膜透析患者的营养状况，提高慢性肾病患者的饮食依从性。

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来源期刊

Clinical nephrology 医学-泌尿学与肾脏学

CiteScore

2.10

自引率

9.10%

发文量

138

审稿时长

4-8 weeks

期刊介绍： Clinical Nephrology appears monthly and publishes manuscripts containing original material with emphasis on the following topics: prophylaxis, pathophysiology, immunology, diagnosis, therapy, experimental approaches and dialysis and transplantation.