Evaluation of the effectiveness of precision diet management nursing in patients with chronic renal failure undergoing hemodialysis
精准饮食管理护理在慢性肾衰竭血液透析患者中的效果评价

摘要

目的 将精准饮食管理护理用于慢性肾衰竭（CKD）血液透析患者中，对其应用效果进行评价。方法 选取2024年8月~2025年8月本院收治的94例CKD血液透析患者，随机分组，对照组47例行常规护理，观察组47例行精准饮食管理护理，对两组干预结果进行比较。结果 干预前，两组BMI、PA、ALB各项指标水平比较，不具显著差异（P>0.05），干预后，观察组各营养指标水平更高（P<0.05）；两组并发症发生率比较，观察组4.26%更低（P<0.05）；两组护理满意度比较，观察组95.74%更高（P<0.05）。结论 对接受HD治疗的CKD患者来说，应用精准饮食管理护理既能改善患者营养状况，还可减少治疗期间并发症发生，提高护理满意度，具有较高应用价值。

Abstract

Objective To apply precise diet management nursing in patients with chronic kidney failure (CKD) undergoing hemodialysis and evaluate its application effect.
Methods 94 patients with CKD undergoing hemodialysis admitted to our hospital from August 2024 to August 2025 were selected and randomly divided into two groups. The control group (47 patients) received routine nursing, while the observation group (47 patients) received precise diet management nursing. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in the levels of BMI, PA, and ALB between the two groups (P > 0.05). After the intervention, the levels of various nutritional indicators in the observation group were higher (P < 0.05); the incidence of complications between the two groups was compared, and the incidence in the observation group (4.26%) was lower (P < 0.05); Comparison of nursing satisfaction between the two groups showed that the observation group had a higher rate of 95.74% (P < 0.05).
Conclusion   For CKD patients undergoing HD treatment, applying precise diet management nursing can not only improve the nutritional status of patients, but also reduce the occurrence of complications during treatment and increase nursing satisfaction. It has a high application value.