...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Patient Preference and Adherence >A PDA-based dietary self-monitoring intervention to reduce sodium intake in an in-center hemodialysis patient
【24h】

A PDA-based dietary self-monitoring intervention to reduce sodium intake in an in-center hemodialysis patient

机译：基于PDA的饮食自我监测干预措施，可减少中心血液透析患者的钠摄入量

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: The purpose of the BalanceWise-hemodialysis study is to determine the efficacy of a dietary intervention to reduce dietary sodium intake in patients receiving maintenance, in-center hemodialysis (HD). Personal digital assistant (PDA)-based dietary self-monitoring is paired with behavioral counseling. The purpose of this report is to present a case study of one participant’s progression through the intervention.Methods: The PDA was individually programmed with the nutritional requirements of the participant. With 25 minutes of personalized instruction, the participant was able to enter his meals into the PDA using BalanceLog? software. Nutritional counseling was provided based on dietary sodium intake reports generated by BalanceLog?.Results: At initiation of the study the participant required 4 HD treatments per week. The participant entered 342 meals over 16 weeks (≥3 meals per day). BalanceLog? revealed that the participant consumed restaurant/fast food on a regular basis, and consumed significant amounts of corned beef as well as canned foods high in sodium. The study dietitian worked with the participant and his wife to identify food alternatives lower in sodium. Baseline sodium consumption was 4,692 mg, and decreased at a rate of 192 mg/week on average. After 11 weeks of intervention, interdialytic weight gains were reduced sufficiently to permit the participant to reduce HD treatments from 4 to 3 per week. Because of a low serum albumin at baseline (2.9 g/dL) the study dietitian encouraged the participant to increase his intake of high quality protein. Serum albumin level at 16 weeks was unchanged (2.9 g/dL). Because of intense pruritis and a high baseline serum phosphorus (6.5 mg/dL) BalanceLog? electronic logs were reviewed to identify sources of dietary phosphorus and counsel the participant regarding food alternatives. At 16 weeks the participant’s serum phosphorus fell to 5.5 mg/dL.Conclusions: Self-monitoring rates were excellent. In a HD patient who was willing to self-monitor his dietary intake, BalanceLog? allowed the dietitian to target problematic foods and provide counseling that appeared to be effective in reducing sodium intake, reducing interdialytic weight gain, and alleviating hyperphosphatemia and hyperkalemia. Additional research is needed to evaluate the efficacy of the intervention.
机译：目的：BalanceWise血液透析研究的目的是确定饮食干预减少维持性中心血液透析（HD）患者的饮食钠摄入量的功效。基于个人数字助理（PDA）的饮食自我监控与行为咨询相结合。本报告的目的是通过干预介绍一个参与者的进展情况。方法：根据参与者的营养要求对PDA进行单独编程。通过25分钟的个性化指导，参与者可以使用BalanceLog？将餐食输入PDA。软件。根据BalanceLog？生成的饮食钠摄入量报告提供营养咨询。结果：研究开始时，参与者每周需要进行4次HD治疗。参与者在16周内输入342顿饭（每天≥3顿饭）。 BalanceLog？据透露，参与者定期食用餐馆/快餐，并食用大量的咸牛肉和高钠罐头食品。营养学家与参与者及其妻子一起研究了钠含量较低的替代食品。基线钠消耗为4,692 mg，平均每周减少192 mg。干预11周后，透析间体重增加降低得足够低，以使参与者能够将HD治疗从每周4减少到3。由于基线时的血清白蛋白低（2.9 g / dL），研究营养师鼓励参与者增加其高质量蛋白质的摄入量。 16周时血清白蛋白水平未改变（2.9 g / dL）。由于剧烈的瘙痒症和较高的基线血磷（6.5 mg / dL），请使用BalanceLog？审查了电子日志，以找出饮食中磷的来源，并就替代食品向参与者提供咨询。在第16周时，参与者的血清磷降至5.5 mg / dL。结论：自我监测率非常好。对于愿意自我监控饮食摄入量的HD患者，可以使用BalanceLog吗？允许营养师针对有问题的食物提供咨询，并提供咨询，看来可以减少钠的摄入量，减少透析间的体重增加以及减轻高磷酸盐血症和高钾血症。需要进行其他研究以评估干预措施的有效性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号