开发和验证知识,态度和实践 (KAP) 问卷及其对非透析性CKD患者营养习惯的实用性研究:前性研究
Himansu Sekhar Mahaptra1, Muthukumar B2, Lalit Pursnani2
1Director Professor & Head of department of Nephrology, ABVIMS &RML Hospital, New Delhi.
概括
饮食咨询显著改善了慢性病 (CKD) 患者的知识,态度和实践. 这凸显了整合饮食干预措施的重要性,以改善CKD管理和结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 营养学 营养学 营养学
- 公共卫生 公共卫生
背景情况:
- 饮食习惯对于控制慢性病 (CKD) 进展至关重要.
- 关于CKD患者饮食的知识,态度和实践 (KAP) 尚未得到充分研究.
- 为CKD患者开发并验证了一份量身定制的KAP问卷.
研究的目的:
- 为CKD患者开发和验证KAP问卷.
- 评估饮食咨询对CKD患者KAP的影响.
- 评估KAP问卷在临床环境中的有用性.
主要方法:
- 进行了一项前性研究,涉及199名CKD患者 (3-5期).
- 使用了33项知识,33项态度 (利克特级) 和11项实践问卷.
- 患者被随机分配到三个蛋白质摄入组,并接受饮食咨询;KAP分数在6个月后重新评估.
主要成果:
- 咨询后,在知识 (29.5到53.3),态度 (108.8到133.9) 和实践 (17.0到20.1) 分数 (p <0.05) 中观察到显著的改善.
- 在6个月的干预后,所有KAP组件和估计的膜过率 (eGFR) 在CKD各个阶段均有所改善.
- 经过验证的KAP问卷显示了测量变化的有效性.
结论:
- 一个经过验证的KAP问卷有效地表明,在6个月内,CKD患者的饮食知识,态度和实践显著改善.
- 饮食咨询对于在疾病各个阶段管理慢性病患者至关重要.
- 整合饮食干预可以改善患者在CKD管理中的结果.
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