Influence of continuous nursing on nutritional status and anemia in non-dialysis patientswith chronic kidney disease stage 3 to 5
延续性护理对慢性肾脏病3～5期非透析患者营养状况及贫血状况的影响

摘要

目的 探析延续性护理对慢性肾脏病（CKD）3～5期非透析患者营养状况及贫血状况的影响。方法选择2019年1月至2021年12月在本院收治的59例CKD3～5期非透析患者为研究对象，依据信封分组法将其分为研究组（30例）和对照组（29例）。对照组运用常规护理，研究组在此基础上运用延续性护理。所有患者均护理3个月，护理前后分别运用整体营养评定量表（PG-SGA）评估两组患者营养状况；运用全自动生化分析仪检测两组患者血清白蛋白（ALB）与血红蛋白（Hb）等贫血改善状况指标；护理前后分别运用汉密顿焦虑量表（HAMA）与汉密顿抑郁量表（HAMD）评估两组患者心理状态；护理前后分别运用科室自拟自我管理能力评定量表评估两组患者自我管理能力。结果 研究组贫血改善状况与自我管理能力高于对照组，营养状况评分与心理状态评分低于对照组（P＜0.05）。结论 对CKD3～5期非透析患者采取延续性护理临床效果显著，患者营养状况与贫血状况得到明显改善，不仅可有效缓解其负性心理，同时还可以提升其自我管理能力，值得推广应用。

Abstract

Objective To explore the effect of continuous nursing on nutritional status and anemia of non dialysis patients with chronic kidney disease (CKD) stage 3~5.
Methods 59 patients with CKD stage 3~5 non dialysis treated in our hospital from January 2019 to December 2021 were selected as the research objects. They were divided into study group (30 cases) and control group (29 cases) according to envelope grouping method. The control group used routine nursing, and the study group used continuous nursing on this basis. All patients were nursed for 3 months. Before and after nursing, the nutritional status of the two groups was evaluated by global nutrition assessment scale (pg-sga); The anemia improvement indexes such as serum albumin (ALB) and hemoglobin (HB) were detected by automatic biochemical analyzer; Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate the psychological status of the two groups before and after nursing; Before and after nursing, the self-management ability of patients in the two groups was evaluated by department self-made self-management ability evaluation scale.
Results the improvement of anemia and self-management ability in the study group were higher than those in the control group, and the scores of nutritional status and psychological state were lower than those in the control group (P < 0.05).
Conclusion   continuous nursing for non dialysis patients with CKD stage 3 ~ 5 has significant clinical effect, and the nutritional status and anemia status of patients have been significantly improved. It can not only effectively alleviate their negative psychology, but also improve their self-management ability, which is worthy of popularization and application.