日记式饮食健康教育对MHD患者的护理效果观察

目的：探究日记式饮食健康教育模式对维持性血液透析（MHD）患者护理效果。方法：选取2022年3月～2023年3月本院收治的维持性血液透析MHD82例患者为研究对象，采用随机数字表法将患者分为接受常规教育干预的对照组（41例）和接受日记式饮食健康教育干预的观察组（41例）。比较两组患者营养状态、饮食健康信念及自我管理能力。结果：观察组营养良好患者占比显著高于对照组，且观察组重度营养不良患者占比显著低于对照组（P <0.05）。干预后两组患者自觉行动效益、自觉行动障碍、自觉疾病严重性、自觉疾病易感性及自觉自我效能均较干预前有显著升高，且干预后观察组患者自觉行动效益、自觉行动障碍、自觉疾病严重性、自觉疾病易感性及自觉自我效能均显著高于对照组（P <0.05）。干预后两组患者饮食与液体摄入、身体活动、心理调节、治疗行为以及自我管理水平评分均较干预前有显著提高，且干预后观察组患者饮食与液体摄入、身体活动、心理调节、治疗行为以及自我管理水平评分均显著高于对照组（P <0.05）。结论：采用日记式饮食健康教育模式对维持性血液透析MHD患者进行干预效果显著，可显著改善患者营养状态，同...

Observation of Nursing Effect of Diary Diet Health Education on MHD Patients

Objective：To explore the nursing effects of diary diet health education mode of maintenance hemodialysis patients. Methods：A total of 82 patients undergoing maintenance hemodialysis admitted to our hospital from March 2022 to March 2023 were selected as the study objects. The patients were divided into control group（41 cases）receiving routine education intervention and observation group（41 cases）receiving diary diet health education intervention by random number table method. The nutritional status，dietary health belief and self-management ability of the two groups were compared. Results：The proportion of patients with good nutrition in observation group was significantly higher than that in control group，and the proportion of patients with severe malnutrition in observation group was significantly lower than that in control group（P < 0.05）. After intervention，conscious action benefit，conscious action disorder，conscious disease severity，conscious disease susceptibility and conscious self-efficacy of patients in the two groups were significantly higher than before intervention，and after intervention，conscious action benefit，conscious action disorder，conscious disease severity，conscious disease susceptibility and conscious self-efficacy of patients in the observation group were significantly higher than those in the control group（P < 0.05）. After intervention，the scores of diet and fluid intake，physical activity，psychological adjustment，treatment behavior and self-management level of patients in the two groups were significantly improved compared with those before intervention，and the scores of diet and fluid intake，physical activity，psychological adjustment，treatment behavior and self-management level of patients in the observation group were significantly higher than those in the control group after intervention（P < 0.05）. Conclusion：The intervention effect of diary diet health education mode on maintenance hemodialysis patients is significant，which can significantly improve the nutritional status of patients，improve the dietary health belief of patients and improve the self-management level of patients，and is worthy of clinical promotion.