Doctor-led intensive diet education on health-related quality of life in patients with chronic renal failure and hyperphosphatemia

作者全名："Feng, Xian-Dong; Xie, Xue; He, Rui; Li, Fang; Tang, Gui-Zhong"

作者地址："[Feng, Xian-Dong; Xie, Xue; He, Rui; Li, Fang] Chengdu Second Peoples Hosp, Med Dept, Chengdu 610021, Sichuan, Peoples R China; [Tang, Gui-Zhong] Chongqing Med Univ, Sch Publ Hlth & Management, Med & Social Dev Res Ctr, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China; [Tang, Gui-Zhong] Collaborat Innovat Ctr Social Risk Predict & Gove, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China"

通信作者："Tang, GZ (通讯作者)，Chongqing Med Univ, Sch Publ Hlth & Management, Med & Social Dev Res Ctr, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China.; Tang, GZ (通讯作者)，Collaborat Innovat Ctr Social Risk Predict & Gove, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China."

来源：WORLD JOURNAL OF CLINICAL CASES

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000776162800008

JCR分区：Q3

影响因子：1.1

年份：2022

卷号：10

期号：4

开始页：1217

结束页：1225

文献类型：Article

关键词：Dietary education; Chronic renal failure; Hemodialysis; Hyperphosphatemia; Quality of life; Satisfaction

摘要："BACKGROUND Secondary hyperparathyroidism, renal osteodystrophy, and cardiovascular adverse events can occur if long-term hyperphosphatemia is not corrected, leading to the adverse prognosis of patients with chronic renal failure. Besides the use of phosphorus binders, clinical control measures for hyperphosphatemia in these patients should also incorporate diet control. AIM To observe doctor-led intensive diet education effects on health-related quality of life in patients with chronic renal failure and hyperphosphatemia. METHODS We assessed 120 patients with hyperphosphatemia and chronic renal failure on hemodialysis admitted to our hospital (July 2018 to March 2020). The control group (n = 60) was given routine nursing guidance, and the observation group (n = 60) was given doctor-led intensive diet education. The changes in EQ-5D-3L scores, disease-related knowledge, and compliance scores before intervention and 3 and 6 mo after intervention in the two groups were recorded. The levels of serum parathyroid hormone (iPTH), calcium (Ca), phosphorus (P), calcium-phosphorus product (Ca x P), serum creatinine (Scr), and blood urea nitrogen (BUN) before intervention and 3 and 6 mo after intervention in the two groups were assessed along with patient satisfaction. RESULTS There was no significant difference in blood iPTH, Ca, P, Ca x P, Scr, or BUN levels between the groups before intervention. After 3 and 6 mo of intervention, the blood iPTH, Ca, P, and Ca x P levels in the two groups decreased gradually (P < 0.05), but there were no significant differences in Scr or BUN. The blood iPTH, Ca, P, and Ca x P levels in the observation group were lower than those in the control group (P < 0.05). The satisfaction rate in the observation group after 3 mo was 93.33% and after 6, 90.00%, which was high compared with the 80.00% and 71.67%, respectively, in the control group (P < 0.05). There was no significant difference in EQ-5D-3L score between the two groups before intervention. After 3 and 6 mo of intervention, the visual analogue scale score of the two groups increased gradually (P < 0.05); and the scores of action ability, self-care, daily activities, pain and discomfort, and anxiety and depression decreased gradually (P < 0.05). The overall EQ-5D-3L score in the observation group was better than that in the control group (P < 0.05). There was no significant difference in disease-related knowledge or compliance scores between the groups before intervention. After 3 and 6 mo of intervention, the scores of disease, diet, and medication knowledge and compliance in the two groups increased gradually (P < 0.05). The scores of disease-related knowledge and compliance were higher in the observation group than in the control group (P < 0.05). CONCLUSION Doctor-led intensive diet education can improve patient satisfaction and the quality of life in patients with chronic renal failure and hyperphosphatemia and promote low-phosphorus diet behavior."

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