多学科协作干预方案对维持性血液透析伴高磷血症患者血磷的影响

doi:10.16460/j.issn1008-9969.2020.06.061

护理学报 ›› 2020, Vol. 27 ›› Issue (6): 61-64.doi: 10.16460/j.issn1008-9969.2020.06.061

多学科协作干预方案对维持性血液透析伴高磷血症患者血磷的影响

许世林^a, 刘云^a, 文罗娜^b, 邹得娥^a, 鲍敏锐^a, 梁威锋^a, 刘岩^b

暨南大学附属广州市红十字会医院 a.肾内科; b.临床病态营养研究所,广东广州 510220

收稿日期:2019-10-06 出版日期:2020-03-25 发布日期:2020-07-13
通讯作者: 刘岩（1963-）,男,吉林公主岭人,博士,主任医师。
作者简介:许世林（1988-）,男,广东湛江人,本科学历,主管护师。
基金资助:
广东省科技计划项目基金（2017B090904027）

Effect of Multidisciplinary Collaborative Intervention Program on Serum Phosphorus Levels in Patients with Hyperphosphatemia Undergoing Maintenance Hemodialysis

XU Shi-lin^a, LIU Yun^a, WEN Luo-na^b, ZOU De-e^a, BAO Min-rui^a, LIANG Wei-feng^a, LIU Yan^b

a. Dept. of Nephrology; b. Institute of Disease-Oriented Nutritional Research, Guangzhou Red Cross Hospital, Jinan University, Guangzhou 510220, China

Received:2019-10-06 Online:2020-03-25 Published:2020-07-13

摘要/Abstract

摘要： 目的探讨多学科协作干预方案对血液透析伴有高磷血症患者血磷的影响。方法选取2019年3月在广州市红十字会医院血液净化中心行维持性血液透析并伴高磷血症的86例患者作为研究对象,随机分为对照组（n=43）和观察组（n=43）。对照组予常规降磷方案及护理,观察组由本院血液净化中心、营养科和信息科组成的控磷小组进行协同治疗及护理,均干预3个月。干预前、干预3个月末比较2组患者血磷水平。结果干预前,2组维持性血液透析并伴高磷血症患者血磷水平比较,差异无统计学意义（P>0.05）;干预 3个月末,观察组患者血磷水平低于对照组（P<0.05）。结论多学科协作干预方案对维持性血液透析伴有高磷血症患者血磷水平干预效果优于常规降磷方案及护理。

关键词: 维持性血液透析, 高磷血症, 多学科合作, 高磷食物库

Abstract: Objective To investigate the effect of multidisciplinary cooperative intervention on serum phosphorus in maintenance hemodialysis (MHD) patients with hyperphosphatemia. Methods Eighty-six patients with hyperphosphatemia who underwent MHD in Guangzhou Red Cross hospital in March 2019 were recruited in the study and randomly divided into control group (n=43) and observation group (n=43). The control group received routine treatments for phosphorus reduction and nursing care, and the observation group nursing care and multidisciplinary collaborative intervention provided by hemodilaysis center, nutrition department and information department of our hospital. The intervention in the two groups lasted 3 months and data of serum phosphorus levels in the 2 groups were collected before and after the intervention. Results Before the intervention, there was no statistical significance in serum phosphorus levels between the 2 groups (P >0.05). At the end of 3 months, serum phosphorus level of the observation group was lower than that of the control group(P<0.05). Conclusion The effect of multi-disciplinary collaborative intervention program on serum phosphorus levels in MHD patients accompanied with hyperphosphatemia is better than that of routine treatment for phosphorus reduction and nursing care.

Key words: maintenance hemodialysis, hyperphosphatemia, multidisciplinary cooperation, high phosphorus food bank

中图分类号:

R473.5

许世林, 刘云, 文罗娜, 邹得娥, 鲍敏锐, 梁威锋, 刘岩. 多学科协作干预方案对维持性血液透析伴高磷血症患者血磷的影响[J]. 护理学报, 2020, 27(6): 61-64.

XU Shi-lin, LIU Yun, WEN Luo-na, ZOU De-e, BAO Min-rui, LIANG Wei-feng, LIU Yan. Effect of Multidisciplinary Collaborative Intervention Program on Serum Phosphorus Levels in Patients with Hyperphosphatemia Undergoing Maintenance Hemodialysis[J]. Journal of Nursing, 2020, 27(6): 61-64.

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多学科协作干预方案对维持性血液透析伴高磷血症患者血磷的影响

Effect of Multidisciplinary Collaborative Intervention Program on Serum Phosphorus Levels in Patients with Hyperphosphatemia Undergoing Maintenance Hemodialysis

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