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The effects of the transtheoretical model combined with nutritional intervention in hemodialysis patients

Lihua Tang1, Zhihui Fu1

  • 1Hemodialysis Room, First People's Hospital of Fuzhou Fuzhou 344000, Jiangxi Province, China.

American Journal of Translational Research
|August 11, 2021
PubMed

Insights

The transtheoretical model combined with nutritional intervention (TTMNI) significantly improved nutritional status, adherence, and dialysis effectiveness in hemodialysis (HD) patients. This approach enhances patient outcomes and liver function compared to routine care.

Area of Science:

  • Nephrology
  • Public Health
  • Nutrition Science

Background:

  • Hemodialysis (HD) patients often face challenges with nutritional status and adherence to treatment regimens.
  • Optimizing nutritional intake and adherence is crucial for improving health outcomes in HD populations.

Purpose of the Study:

  • To evaluate the efficacy of the transtheoretical model combined with nutritional intervention (TTMNI) in hemodialysis patients.
  • To assess the impact of TTMNI on nutritional indices, adherence, and dialysis adequacy.

Main Methods:

  • A retrospective study involving 100 HD patients, divided into a control group (routine nursing) and an intervention group (TTMNI plus routine nursing).
  • Key parameters assessed included nutritional markers (albumin, prealbumin, transferrin), adherence scores (RAAQ, RABQ), anthropometric measurements (MAMC, TSF, BMI), and dialysis adequacy (KT/V, URR).

Main Results:

  • The TTMNI group demonstrated significant improvements in nutritional markers (higher TRF, PA, ALB) and adherence scores (RAAQ, RABQ) compared to the control group.
  • Patients receiving TTMNI showed better anthropometric indicators (higher MAMC, TSF, BMI) and lower SGA scores, indicating improved nutritional status.
  • Dialysis attainment rates for KT/V and URR were significantly higher in the TTMNI group (94.12% and 96.07%, respectively) compared to the control group (63.27% and 61.22%).

Conclusions:

  • TTMNI is an effective strategy for enhancing the nutritional status of hemodialysis patients.
  • This intervention improves dietary compliance and positively impacts liver function markers.
  • TTMNI significantly increases the dialysis attainment rate, suggesting improved treatment effectiveness.
Abstract

Keywords:
Hemodialysiscompliancedietary nutritionnutritional statusrenal functiontranstheoretical model

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