基于微信平台的个体化营养管理对腹膜透析患者的影响

doi:10.3760/cma.j.cn441417-20250615-22030

摘要/Abstract

摘要： 目的　探讨基于微信平台的个体化营养管理方案对腹膜透析（PD）患者营养状况、肾脏病饮食依从性、营养相关人体测量指标的影响。方法　采用前瞻性研究。选取2022年8月至2023年11月于福建医科大学附属第一医院PD护理专科门诊规律随访的患者，采用随机数字表法分为两组。对照组：男29例，女13例，年龄（50.81±12.22）岁，实施常规营养管理。干预组：男24例，女19例，年龄（47.09±12.88）岁，实施基于微信平台的个体化营养管理。两组均干预3个月，对比两组营养状况、肾脏病饮食依从行为量表（RABQ）得分和营养相关人体测量指标。统计学方法采用t检验、Mann-Whitney U检验、χ²检验。结果　干预后，干预组营养不良发生率低于对照组［9.30%（4/43）比28.57%（12/42）］，RABQ得分高于对照组［89.0（88.0，90.0）分比84.0（77.8，89.0）分］，差异均有统计学意义（χ²=5.163、Z=-4.087，均P<0.05）。干预组人体测量指标三头肌皮褶厚度（TSF）、上臂肌周径（MAC）均大于对照组［16.0（13.3，18.5）mm比11.8（9.0，17.0）mm、27.0（25.0，30.0）cm比24.5（22.0，28.0）cm］，差异均有统计学意义（Z=-2.089、-2.552，均P<0.05）。结论　基于微信平台对PD患者进行个体化营养管理，有助于改善PD患者的营养状况，提高肾脏病饮食行为依从性。

关键词: 腹膜透析, 营养管理, 饮食, 微信, 依从性

Abstract:

Objective　To explore the impact of an individualized nutrition management plan based on the WeChat platform on the nutritional status, dietary compliance with renal diet, and related anthropometric indicators of peritoneal dialysis (PD) patients. Methods　A prospective study was adopted. The patients who were regularly followed up at the PD nursing specialty clinic of the First Affiliated Hospital of Fujian Medical University from August 2022 to November 2023 were selected and divided into two groups using the random number table method. The control group consisted of 29 males and 13 females, with an age of (50.81±12.22) years. They received routine nutritional management. The intervention group consisted of 24 males and 19 females, with an age of (47.09±12.88) years. They received individualized nutritional management based on the WeChat platform. Both groups were intervened for 3 months. The nutritional status, the score of the Renal Diet Adherence Questionnaire (RABQ), and the related human measurement indicators of nutrition were compared between the two groups. Statistical methods employed were t-test, Mann-Whitney U test, and χ² test. Results　After the intervention, the incidence rate of malnutrition in the intervention group was lower than that in the control group [9.30% (4/43) vs. 28.57% (12/42)], and the RABQ score was higher [89.0 (88.0, 90.0) points vs. 84.0 (77.8, 89.0) points], and the differences were statistically significant (χ²=5.163 and Z=-4.087; both P<0.05). The anthropometric indicators of the intervention group, such as triceps skinfold thickness (TSF) and upper arm circumference (MAC), were both greater than those of the control group [16.0 (13.3, 18.5) mm vs. 11.8 (9.0, 17.0) mm and 27.0 (25.0, 30.0) cm vs. 24.5 (22.0, 28.0) cm], and the differences were statistically significant (Z=-2.089 and -2.552; both P<0.05). Conclusion　Implementing individualized nutritional management for PD patients through the WeChat platform can help improve their nutritional status and enhance the compliance of their dietary behaviors regarding kidney diseases.

Key words: Peritoneal dialysis, Nutritional management, Diet, WeChat, Compliance

陈晓清孙文丽黄春红翁碧霞邵怡欣胡芳郑海英. 基于微信平台的个体化营养管理对腹膜透析患者的影响[J]. 国际医药卫生导报, 2025, 31(22): 3844-3848.

Chen Xiaoqing, Sun Wenli, Huang Chunhong, Weng Bixia, Shao Yixin, Hu Fang, Zheng Haiying. Effects of individualized nutritional management using the WeChat platform for patients taking peritoneal dialysis[J]. International Medicine and Health Guidance News, 2025, 31(22): 3844-3848.

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