Effect of nutrition management on self-care ability, nutritional status and quality of life of patients with chronic kidney disease

Abstract

Objective To expolre the effect of nutrition management on self-care ability, nutritional status and quality of life of chronic nephropathy patients. Methods A total of 96 patients with chronic kidney disease who received peritoneal dialysis in the hospital from January 2016 to January 2018 were selected as subjects.The selected patients were divided into control group and observation group with 48 cases each.The control group was given routine nursing, and the observation group applied nutrition management on the basis of the nursing plan of the control group.After 6 months of nursing, the improvement of self-nursing ability, nursing effect, nutrition status and quality of life of patients in the two groups was observed. Results The patients in the observation group were better than the control group in 6 aspects: compliance with medical drugs, urine protein monitoring, diet control, regular exercise, complication prevention and nursing, and treatment of high and low proteinemia, with statistically significant differences(P<0.05). The fatigue degree, pain and discomfort degree, the degree of emotional distress, the number of medical visits and the score of adverse drug reactions were all higher in the observation group than in the control group, and the differences were statistically significant(P<0.05). The scores of physiological function, social relationship and treatment in the observation group were all higher than those in the control group, and the differences were statistically significant(P<0.05). The serum levels of total protein, albumin and IgG in the observation group were higher than those in the control group, with statistically significant differences(P<0.05). The NRS-2002 score of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusions Nutrition management can effectively improve the self-care ability of patients with chronic kidney disease, and has a clear effect on improving the nursing effect, nutritional status and quality of life of patients. Key words: Chronic kidney disease; Self-care ability; Nutritional status; Quality of life