背景:坚持饮食对于血液透析患者的代谢控制是有效的。有教育小册子或小册子,以提高患者对健康饮食的知识。由于视频演示比可读材料的演示更可取,我们设计了一个关于肾衰竭患者健康饮食的教育视频,这些患者在血液透析的几个疗程中播放。我们比较了这种模式对知识的影响,干预前后患者的态度和代谢控制。
方法:在这项介入研究中,所有被转诊到Ashrafi-Esfahani医学中心血液透析病房的患者(德黑兰,伊朗)在2018年5月至2019年3月期间注册(N=190)。完全正确,130例患者符合纳入标准。关于健康饮食的教育视频被播放了七次(第一个月每周一次,第二个月每两周一次,并在第三个月一次)在患者的血液透析期间。根据伊朗肾脏联合会的血液透析患者指南的健康营养,肾脏病学家以带有图形图像的讲座形式准备了20分钟的视频。问卷是在意识和态度方面完成的,血液和尿液检查在1号进行,3rd,和12个月。血清参数,包括电解质,血脂谱,CBC-diff,透析功效(Kt/V),并检查了URR(尿液滤过率)。通过使用IBMSPSS进行的统计分析,比较了干预前后的值。P值<0.05是显著的。
结果:在研究结束时分析了128人的数据。55%的患者为10-40岁,60%为男性。56%的患者是文盲或受过小学教育。最常见的基础疾病是高血压和糖尿病。10%至19%的参与者对血液透析患者的健康饮食的各种成分有足够的了解。约25%,14%,45%的参与者早餐吃健康的饮食,午餐和晚餐,分别。干预前后血清参数平均值的比较显示磷的显著变化,血尿素氮,和血红蛋白的平均差异为-118.41±22.84,21.51±10.38(均P<0.001),和0.29±1.18(P=0.044),分别。所有阶段的平均Kt/V相似。
结论:使用教育视频可以有效地使血液透析患者的代谢参数正常化,并且可以作为适当的选择,尤其是不识字的病人。
背景:IRCT2016082229481N1.
BACKGROUND: Adherence to diet is effective for metabolic control in patients on hemodialysis. There are educational pamphlets or booklets to improve patients\' knowledge about healthy diets. As video presentation is more desirable than the presentation of readable materials, we designed an educational video on healthy diets in renal failure patients who was played during several sessions of hemodialysis. We compared the effect of this modality on the knowledge, attitudes and metabolic control of the patients before and after the intervention.
METHODS: In this interventional study, all the patients who were referred to the hemodialysis ward at Ashrafi-Esfahani Medical Center (Tehran, Iran) between May 2018 and March 2019 were enrolled (N = 190). Totally, 130 patients had inclusion criteria. An educational video about a healthy diet was shown seven times (once a week in the first month, once every two weeks in the second month, and once in the third month) during hemodialysis for the patients. The nephrologist prepared a video in the form of a lecture with graphic images for 20 min based on the healthy nutrition of the Kidney Federation of Iran\'s Guide for hemodialysis patients. The questionnaire was completed in terms of awareness and attitudes, and blood and urine tests were performed at the 1st, 3rd, and 12th months. Serum parameters, including electrolytes, lipid profile, CBC-diff, dialysis efficacy (Kt/V), and the URR (urine filtration rate) were examined. Pre and post intervention values were compared via the statistical analysis performed using IBM SPSS. P-Value < 0.05 was significant.
RESULTS: The data of 128 people were analyzed at the end of the study. 55% of patients were 10-40 years old and 60% were male. 56% of patients were illiterate or had an elementary school education. The most common underlying diseases were hypertension and diabetes mellitus. Ten to 19% of participants had enough knowledge about the various components of a healthy diet for patients on hemodialysis. Approximately 25%, 14%, and 45% of the participants consumed a healthy diet for breakfast, lunch and dinner, respectively. A comparison of the mean values of the serum parameters before and after the intervention revealed significant changes in phosphorus, blood urea nitrogen, and hemoglobin with mean differences of -118.41 ± 22.84, 21.51 ± 10.38 (both P < 0.001), and 0.29 ± 1.18 (P = 0.044), respectively. The mean Kt/V was similar at all phases.
CONCLUSIONS: The use of an educational video was effective for normalizing the metabolic parameters in patients under hemodialysis and can be an appropriate option, especially for illiterate patients.
BACKGROUND: IRCT2016082229481N1.