Abstract: TH-PO914
Effect of Geriatric Nutritional Risk Index (GNRI)-Based Stratified Diet Intervention on Nutritional Status and Self-Efficacy of Elderly Patients with Maintenance Hemodialysis
Session Information
- Health Maintenance, Nutrition, Metabolism - I
November 02, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Health Maintenance, Nutrition, and Metabolism
- 1500 Health Maintenance, Nutrition, and Metabolism
Authors
- Wang, Ying, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
- Zhuang, Bing, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
- Xu, Fangfang, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
- Yang, Junwei, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
- Ye, Hong, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
Background
To explore the effect of stratified dietary intervention based on geriatric nutritional risk index (GNRI) on nutritional status and self-efficacy in elderly patients with continuous hemodialysis (MHD).
Methods
A total of 60 elderly patients with MHD from the Second Affiliated Hospital of Nanjing Medical University from January 2020 to January 2021 were randomly selected and divided into an intervention group and a control group by random number table method, with 30 cases in each group. The control group implemented conventional intervention measures, and the intervention group implemented GNRI stratified dietary intervention based on conventional intervention measures. The nutritional status of the two groups before and after 3 months of intervention, including the score of the subjective global assessment (scored patient-generated subjective global assessment, PG-SGA), body mass index (body mass index, BMI) and triceps skin triceps skin fold (TSF), self-efficacy [general self-efficacy scale (GSES) score, dietary treatment attitude [the attitude scale for the dietary therapy of hemodialysis] patients, ASDTH) score], quality of life [kidney disease quality of life short form (KDQ) score] changes.
Results
After 3 months of intervention, the intervention group PG-SGA score, BMI, TSF, Event coping, goal achievement and individual problem solving, ASDTH score and KDQ score were higher than those of the control group (t =5.450, -2.199, -3.510, -5.122, -5.142, -5.085, -4.280, -4.959; respectively; P < 0.001, 0.032, 0.001, P < 0.001, P < 0.001, 0.001, P < 0.001 and P < 0.001.
Conclusion
GNRI stratified dietary intervention can improve the nutritional status of elderly MHD patients, help to enhance their self-efficacy, improve Diet therapy attitude, improve the quality of life, has high clinical application value.
Funding
- Government Support – Non-U.S.