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中文摘要: 目的：探讨液体摄入管理手册及补充方案在血液透析患者容量管理中的应用效果。方法：纳入本院2022年6月~2024年6月118例血液透析患者，经由随机数字表法完成对患者的分组，59例参考组患者予以常规护理管理，59例管理组患者同时通过液体摄入管理手册及补充方案进行容量管理，干预周期共6个月。观察2组干预前、干预6个月后的容量管理行为、容量控制情况、水肿程度及残余肾功能水平。结果：2组干预后容量管理行为评分均有明显升高，且管理组高于参考组（P < 0.05）；参考组干预6个月后的体质量高于干预前，24 h尿量低于干预前（P < 0.05），管理组干预前后各指标差异无统计学意义（P > 0.05）；干预后管理组体质量低于参考组，而24 h尿量高于参考组（P < 0.05）；2组干预6个月后的水肿程度均减轻，且管理组轻于参考组（P < 0.05）；2组干预后血清肌酐（Scr）和尿素氮（BUN）水平均低于干预前，且管理组低于参考组（P < 0.05）。结论：液体摄入管理手册及补充方案的应用能够改善血液透析患者的容量管理行为和容量控制情况，减轻水肿，为患者残余肾功能提供一定的保护。
Abstract:Objective：To explore the application effect of the fluid intake management manual and supplementation program in the volume management of hemodialysis patients. Methods：A total of 118 hemodialysis patients in our hospital were selected from June 2022 to June 2024，and the patients were divided into groups by random number table method. 59 patients in the reference group received routine care，and 59 patients in the management group received volume management through fluid intake management manual and supplement program. The intervention period was 6 months. The volume management behaviors，volume control conditions，edema degrees，and residual renal function levels of the two groups were observed before the intervention and 6 months after the intervention. Results：After the intervention，the scores of capacity management behaviors in both groups increased significantly，and the management group was higher than the reference group（P < 0.05）. The body weight of the reference group after 6 months of intervention was higher than that before the intervention，and the 24-hour urine output was lower than that before the intervention（P < 0.05）. There was no statistically significant difference in each index before and after the intervention in the management group（P > 0.05）. After the intervention，the body weight of the management group was lower than that of the reference group，while the 24-hour urine output was higher than that of the reference group（P < 0.05）. The degree of edema in both groups decreased after 6 months of intervention，and the degree in the management group was milder than that in the reference group（P < 0.05）. After the intervention，the levels of serum Scr and BUN in both groups were lower than those before the intervention，and those in the management group were lower than those in the reference group（P < 0.05）. Conclusion：The application of the fluid intake management manual and supplementary plan can improve the volume management behavior and volume control situation of hemodialysis patients，alleviate edema，and provide certain protection for the residual renal function of patients.
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王星星,王 敏,张明露.液体摄入管理手册及补充方案在血液透析患者中的应用[J].江苏卫生事业管理,2026,37(2):196-200.
WANG Xingxing,WANG Min,ZHANG Minglu.To Develop the Management Manual of Fluid Intake and Observe the Effect of the Supplementary Program Applied to the Volume Management of Hemodialysis Patients[J].Jiangsu Health System Management,2026,37(2):196-200.
王星星,王 敏,张明露.液体摄入管理手册及补充方案在血液透析患者中的应用[J].江苏卫生事业管理,2026,37(2):196-200.
WANG Xingxing,WANG Min,ZHANG Minglu.To Develop the Management Manual of Fluid Intake and Observe the Effect of the Supplementary Program Applied to the Volume Management of Hemodialysis Patients[J].Jiangsu Health System Management,2026,37(2):196-200.
