The effects of individual interactive dietary nursing intervention for hemodialysis patients on physiological indices and resilience

• Main Authors: Chun-Ju Chang, 張君如
• Other Authors: Chin-Mi Chen
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/15735941714537423672

碩士 === 國防醫學院 === 護理研究所 === 101 === Background. High dietary phosphorus, potassium and sodium intake have a deleterious impact on hemodialysis patients.To prevent hyperphosphatemia, hyperkalimia and excessive weight gain to learn how to control daily intake of food that contains high phosphorus, potassium and sodium. Inspiring resilience promotion in hemodialysis patients, will help to improve the selection of appropriate food type dietary intake and planning capacities, in the face of life and adaptation to disease impacts. Purpose. This study aimed to explore the effects of individual interactive dietary nursing intervention for hemodialysis patients on physiological indices and resilience. Methods. A quasi-experimental study was conducted at two hemodialysis outpatient facilities in two medical centers in northern Taiwan. Participants (N=63) were recruited from January 2013 to May 2013 by including convenience sampling.Data on serum phosphate level, serum potassium, and body wight were collected from medical record. Data on resilience scale were collected using a structured questionnaire.During hemodialysis, participants in the intervention group (n=33) received individual interactive dietary nursing intervention for 5 weeks, 3 times per week, total 12 times and 15-20 minutes each time. Participants in the comparison group (n=30) received routine nursing care. Results. (1) No differences were indentified in the demographic data and illness history between participants in the intervention and comparison groups. (2) No differences were shown in physiological indicators between participants in the two groups, such as serum phosphorus, serum potassium, serum sodium and excessive weight gain ,but physiologicalindices have a downward trend. (3) Hemodialysis patients who received individual interactive dietary nursing intervention had higher lever of resilience (139.8524.86) than those who did not in the comparision group (109.7721.83) (p<0.05). (4) Hemodialysis patients who received individual interactive dietary nursing intervention, association with serum calicium and resilience have significant in these patients. Conclusion. The study findings suggest individual interactive dietary nursing intervention could improve the resilience in participants with hemodialysis according to the findings in this study, and physiological indices have a downward trend. Such as serum calicium and resilience have significant .Thus, we recommed that nursing staff should interactively work with hemodialysis participants to provide dietary nursing that satisfies patients’ needs to enhance their resilience and to master their life.