为肝硬化患者设计的营养教育指南的评估:一种随机对照混合方法研究
Manila Sophasath1, Mélanie Tremblay2, Crystèle Hogue2
1Centre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada; Department of nutrition, Faculty of medicine, Université de Montréal, Montréal, Canada.
Clinics and research in hepatology and gastroenterology
|August 15, 2025
概括
"肝硬化中的营养指南"改善了营养知识,并降低了肝硬化患者的营养不良风险. 患者反表明了需要改进的领域,证实了其在营养教育中的价值.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 加拿大普遍存在肝脏疾病和肝硬化,增加营养不良的风险.
- 肝硬化患者面临着满足营养目标的挑战,需要定制干预措施.
- 营养状况对于管理肝病进展和患者的结果至关重要.
研究的目的:
- 评估"肝硬化营养"指南对肝病患者的影响.
- 评估营养知识,生活质量 (QoL) 和营养风险的变化.
- 为了衡量患者对营养干预指南的满意度.
主要方法:
- 一项为期6个月的随机控制混合方法研究,涉及肝硬化患者.
- 干预组接受了"肝硬化中的营养"指南;对照组没有.
- 数据收集包括对营养知识,营养素质和营养风险的验证问卷,并通过焦点小组来补充满意度.
主要成果:
- 与对照组相比,干预组的营养知识 (74.3%至84.0%) 显著改善 (p=0.032).
- 干预组的营养风险显著下降 (47.8%至21.7%,p=0.021),而对照组的风险保持不变.
- 没有观察到生活质量 (QoL) 的显著变化;患者反确定了导航挑战和指导结果.
结论:
- "肝硬化中的营养"指南有效地提高了营养知识,并降低了肝硬化患者的营养风险.
- 患者反为完善指南的可用性和有效性提供了宝贵的见解.
- 该指南是营养教育和支持肝病管理的宝贵工具.
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