Application of patient participation-based diet management in maintenance hemodialysis patients

Abstract

Objective To explore the effects of patient participation-based diet management on nutritional status among maintenance hemodialysis (MHD) patients. Methods From January 2015 to December 2017, we selected 140 MHD patients at Beijing Friendship Hospital of Capital Medical University as subjects by convenience sampling. All of the patients were divided into experimental group and control group with the method of random number table, 70 cases in each group. Control group carried out general diet guidance for MHD patients, while experimental group provided the participation-based diet management involving making the diet management booklet and the diet plan together. The body mass index (BMI) , plasma albumin (ALB) , pre-albumin (PAB) of patients between two groups were evaluated and patients' nutritional status was assessed with the patient-generated subjective global assessment (PG-SGA) one day before discharge, six weeks and 12 weeks after intervention. Results There were interaction effects of groups, time, groups and time in ALB, PAB and scores of PG-SGA between two groups with statistical differences (P<0.01) . Six weeks and 12 weeks after intervention, the levels of ALB and PAB of experimental group were higher than those of control group, and the scores of PG-SGA were lower than that of control group; the differences were statistical (P<0.01) . Conclusions Patient participation-based diet management can improve nutritional status of MHD patients. Key words: Dialysis; Patient participation; Diet therapy; Nutritional status