Effect Of Dietary Intervention-based New Family Support On Quality Of Life For Hemodialysis Patients

ObjectiveTo evaluate current status of life quality in patients with maintenance hemodialysis;to investigate the influence of diet intervention-based new family support on their life quality;and to provide references for elevating the life quality and clinical efficacy of patients with maintenance hemodialysis.MethodsA total of 212 patients,which were admitted to the blood purification center of a Third-Grade Class A hospital in Hengyang March2015^March 2016,were selected as the research objects.They were randomized divided to control groups?106 patients?and intervention group?106 patients?.Patients in intervention group were treated with normal maintenance hemodialysis nursing care,diet intervention-based new family support for 6 months,while the control group patients receivedmaintenancehemodialysisonly.Thechangesof self-management behavior,control of fluid intake compliance,blood pressure and biochemical value were assessed;Analyzed the nutritional effects of diet intervention from the dietary structure indicators,anthropometric indicators and biochemical indicators;The World Health Organization Quality of Life Scale?WHOQOL-BREF?was used to assess the quality of life of 212 hemodialysis patients before and after the trial.Results1.The scores of self-management behavior in the intervention group which were measured in 3 and 6 months after intervention improved significantly,the difference was significant,and all had statistical significance?P<0.05?.2.The values of fluid intake compliance of intervention group in 3and 6 months after intervention were significantly higher than that of the control group,the difference was statistically significant?P<0.05?.3.The changes of blood pressure and biochemical values in 6 months after intervention:values of SBP?SCr?DBP?BUN?K⁺?P³⁺?Ca²⁺in the intervention group were significant lower than those in the control group?P<0.05?.4.Nutrition status of the intervention group in 6 months after intervention:?1?Measurement index of dietary structure:total heat,the amount of carbohydrate and protein reached 50%of the normal standard value of patients,which was significantly improved,with statistical significance?P<0.05?;the intake of carbohydrates,fat,protein of the intervention group was also significant improved than that of control group?P<0.05?.?2?The measurement of anthropometric indicators:from the changes of the triceps skinfold thickness and arm muscle circumference,the nutrition condition of the intervention group has been significantly improved?P<0.05?.?3?The measurement of biochemical indexes:The serum albumin level of intervention group was 13.21%lower than the standard value,while it was 25.47%lower than standard value in control group,the difference was statistically significant?P<0.05?;The proportion of anemia in the intervention group was 20.75%lower than that in the control group?42.75%?,and the difference was statistically significant?P<0.05?.5.The quality of life satisfaction score of the intervention group was 3.43�0.87,scores of Reproductive health,mental health status,psychosocial function,Living conditions were as follows:15.69�1.93,14.47�1.96,14.22�2.75,11.93�2.17 respectively.And the total score of life quality was56.32�6.85.Compared with the control group,the values of 4 dimensions of quality of life?QOL?and life quality in the intervention group were sig nificantly higher?P<0.05?.ConclusionThe quality of life of patients with hemodialysis stayed in a significantly low status,the application of diet intervention-based new family support to patients with hemodialysis could improve their nutritional status and quality of life.