中西医结合护理（中英文）2025，Vol.11Issue(3)：161-164,4.DOI:10.11997/nitcwm.202503041
基于老年营养风险指数的分层式饮食管理对老年维持性血液透析患者营养状态的影响
Impact of stratified dietary management based on Geriatric Nutritional Risk Index on the nutritional status of elderly patients with maintenance hemodialysis
摘要
Abstract
Objective To analyze the impact of stratified dietary management based on the Geriatric Nutritional Risk Index(GNRI)on the nutritional status of elderly patients with maintenance hemodialysis(MHD).Methods Sixty elderly patients with MHD admitted to the First Affiliated Hospital of Bengbu Medical University from January to September 2023 were randomly divided into an observation group(30 cases)and a control group(30 cases)using a simple randomization method and a random number table.Both groups received routine nursing care and dietary management,while the observation group received an additional stratified dietary management based on GNRI.The nutritional status and other conditions of the two groups were compared.Results The levels of serum albumin,prealbumin,and total protein,as well as the scores of various dimensions of the Attitude Scale for the Dietary Therapy of Hemodialysis Patients in the observation group were higher than those in the control group after 3 months of intervention(P<0.05),and the indicators and scores of both groups increased at the above time points compared to before intervention(P<0.05).Compared to the control group,the observation group had a lower proportion of pre-frail patients after 3 months of intervention,and a lower overall incidence of complications during the intervention period(P<0.05).Conclusion Implementing stratified dietary management based on GNRI can help improve the nutritional status,dietary treatment attitude,and frailty status of elderly MHD patients,and reduce the incidence of complications during intervention.关键词
维持性血液透析/老年/营养风险指数/分层式饮食管理/营养状况Key words
maintenance hemodialysis/old age/nutritional risk index/stratified dietary management/nutritional status分类
医药卫生引用本文复制引用
刘丽,骆俊秀,吕亮..基于老年营养风险指数的分层式饮食管理对老年维持性血液透析患者营养状态的影响[J].中西医结合护理（中英文）,2025,11(3):161-164,4.基金项目
蚌埠医学院人文社科重点项目(2022byzd127sk) （2022byzd127sk）
