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題名 | 慢性腎臟病合併糖尿病患者之血磷狀況與營養衛教成效=The Serum Phosphate Status and Improvement of Nutrition Education in Chronic Kidney Disease Patients with Diabetes |
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作者姓名(中文) | 黃雋; 林可欣; 劉珍芳; | 書刊名 | 臺灣營養學會雜誌 |
卷期 | 42:4 2018.12[民107.12] |
頁次 | 頁121-130 |
分類號 | 411.3 |
關鍵詞 | 糖尿病; 慢性腎臟病; 高血磷; 營養衛教; 磷結合劑; Diabetes; Chronic kidney disease; Hyperphosphatemia; Nutrition education; Phosphate binders; |
語文 | 中文(Chinese) |
中文摘要 | 糖尿病為造成慢性腎臟病(Chronic kidney disease, CKD)主要原因之一,當飲食控制不佳及磷結合劑使用不當時可能導致高血磷。本研究回溯105年7月至107年5月之病歷,對象為Health Education Plan for Patients with Pre-End-stage Renal Disease(Pre-ESRD)計畫轉介至營養師進行衛教之患者,探討CKD合併糖尿病與否之初診患者,其高血磷人數之差異;另分析慢性腎臟病合併糖尿病患,造成高血磷之可能原因及經營養師衛教後血磷改善成效。本研究慢性腎臟病合併糖尿病(Chronic Kidney Disease-Diabetes, CKD-D)及慢性腎臟病無合併糖尿病(Chronic Kidney Disease-Non Diabetes, CKD-ND)病患分別為153及169位。結果顯示CKD-D組高血磷之比例顯著高於CKD-ND組,其中高血磷且未使用磷結合劑者,經衛教後其血磷值及鈣磷乘積皆顯著降低。造成CKD-D組血磷控制不佳的主因為加工品攝取過多及腎功能不全。CKD-D組使用磷結合劑的病患中,使用不當者之比例達56%。綜合以上,CKD合併糖尿病時較易有高血磷,而營養教育有助於改善患者之血磷值。 |
英文摘要 | Diabetes is one of major causes of chronic kidney disease (CKD), higher dietary phosphorus intake and improper use of phosphate binder may result in hyperphosphatemia. Medical chart review was adopted with the source of Care and Health Education Plan for Patients with Pre-Endstage Renal Disease (Pre-ESRD) from July of 2016 to May of 2018. We assessed the prevalence of hyperphosphatemia in Chronic Kidney Disease-Diabetes (CKD-D) and Chronic Kidney Disease-Non Diabetes (CKD-ND). Furthermore, the effectiveness of nutrition education on phosphate levels and the causes of hyperphosphatemia were evaluated in CKD-D group combined with hyperphosphatemia. There are 153 and 169 patents respectively in CKD-D and CKD-ND. Results showed that the prevalence of hyperphosphatemia was significantly higher in CKD-D group than in CKD-ND group. After nutrition education, the serum phosphate levels and the multiplication of calcium (Ca) and phosphate (P) levels were decreased significantly in CKD combined with hyperphosphatemia without using phosphate binder. The main causes of hyperphosphatemia in CKD-D were processed food product intake and impaired renal function. Besides, there was 56% CKD-D patients using phosphate binder inappropriately. In conclusion, CKD patients with diabetes were prone to combine hyperphosphatemia. Moreover, nutrition education may help decrease phosphate levels. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。