Effect of individualized comprehensive nutritional support on maintenance hemodialysis patients

SHEN Yuting; YANG Jiahui; YUAN Yanggang; XU Wei; LI Lingling

doi:10.3969/j.issn.2097-1753.2023.06.012

Abstract：Objective To analyze the applicability of individualized comprehensive nutritional support among maintenance hemodialysis(MHD)patients.Methods A total of 110 MHD patients admitted to Jiangsu Provincial People's Hospital from March 2019 to March 2022 were selected for the study.Using a simple random method,they were divided into the study group(n=55)and the control group(n=55).Both groups received routine treatment,but the study group additionally received individualized comprehensive nutritional support.The Renal Adherence Altitudes Renal Questionnaire(RAAQ)and Renal Adherence Behavior Questionnaire(RABQ)scores,as well as nutritional indicators including serum albumin(ALB),prealbumin(PA),transferrin(TRF),patient-generated subjective nutrition assessment(PG-SGA),malnutrition inflammation score(MIS),triceps skinfold thickness(TSF),arm muscle circumference(AMC),and creatinine(Cr)before and after interventions were compared.Results After 3-month interventions,RAAQ and RABQ scores in both groups increased(t=8.51-13.35,all P＜0.001),especially in the control group,and the difference was of statistical significance(t=5.03,3.84,P＜0.001 for both).Levels of ALB,PA,and TRF in both groups increased after interventions(t=2.05-5.93,P＜0.05 or＜0.001),particularly in the study group,and the difference was statistically significant(t=2.39,2.09,2.97,P=0.019,0.039,0.004).PG-SGA and MIS scores in both groups decreased after interventions(t=6.29-17.67,all P＜0.001),especially in the study group,with statistically significant difference(t=7.56,6.22,P＜0.001 for both).TSF,AMC,and Cr levels in both groups increased after interventions(t=3.82-7.78,P＜0.05 or＜0.001),particularly in the study group,and the difference was also of statistical significance(t=2.69,3.36,2.01,P=0.008,0.001,0.047).Conclusion Individualized comprehensive nutritional support helps improve the diet and behavioral compliance of MHD patients,having a positive effect on the nutritional status,physique,and renal function of patients.