Effect of Nutritional Support Team on Dialysis Adequacy and Nutritional Status in Patients with Chronic Renal Failure

Liu Xiao; Wang Weiwei; Xu Tong

doi:10.3969/j.issn.1004-5775.2025.09.002

Abstract：Objective:To investigate the effect of nutrition support group combined with horizontal foot movement in dialysis in patients with chronic renal failure maintenance hemodialysis(MHD).Methods:148 MHD patients with chronic renal failure admitted to the hospital from January 2022 to January 2024 were selected and divided into two groups according to random number table method,with 74 cases in each group.The control group received routine nursing,and the observation group received nutrition support group combined with horizontal foot exercise in dialysis.The adequacy of dialysis,nutritional status,incidence of complications,quality of life and patient satisfaction were compared between the two groups.Results:After intervention,urea reduction rate(URR)and urea clearance index(Kt/V)in observation group were higher than those in control group(t=8.517,6.549;P<0.05).Nutritional status score of observation group was lower than that of control group(t=7.851,8.011,9.570,9.262;P<0.05).The complication rate in the observation group was lower than that in control group(χ2=4.132,P<0.05).SF-36 scores of observation group were higher than control group,and the difference was statistically significant(t=9.956,8.745,7.292,7.283,7.683,8.388,7.463,7.047;P<0.05).The satisfaction of the patients in the observation group was higher than that in the control group,and the difference was statistically significant(χ2=4.132,P<0.05).Conclusion:Nutrition support group combined with horizontal foot movement during dialysis can improve the nutritional status of MHD patients with chronic renal failure,enhance dialysis adequacy,reduce complications,and improve quality of life and patient satisfaction.