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Randomized Controlled Trial
. 2022 Mar 15:2022:1120242.
doi: 10.1155/2022/1120242. eCollection 2022.

Effects of Systematic Diet Education Combined with Multidisciplinary Nursing on Nutritional Status and Calcium and Phosphorus Metabolism in Patients with Diabetic Kidney Disease in Uremic Phase after Treatment with Alogliptin

Ning Guo  1 , Na Li  1 , Yan Zhao  1 , Huaibin Sun  1 , Kao Liu  1
Affiliations
Randomized Controlled Trial

Effects of Systematic Diet Education Combined with Multidisciplinary Nursing on Nutritional Status and Calcium and Phosphorus Metabolism in Patients with Diabetic Kidney Disease in Uremic Phase after Treatment with Alogliptin

Ning Guo et al. J Healthc Eng. .

Abstract

Objective: To explore the effects of systematic diet education combined with multidisciplinary nursing on nutritional status and calcium and phosphorus metabolism in patients with diabetic kidney disease (DKD) in uremic phase after treatment with alogliptin.

Methods: A total of 90 DKD patients with uremia admitted to our hospital from January 2020 to January 2021 were selected as the research objects. The subjects were divided into combined group and routine group by random number table method. All patients received alogliptin medication. The combination group received systematic dietary education combined with multidisciplinary nursing after the medication, and the conventional group received conventional intervention. Serum albumin, blood calcium, and other indexes were detected between both groups after intervention.

Results: After intervention, compared with the conventional group, all nutritional indexes of the combined group were obviously higher, levels of serum phosphorus and calcium-phosphorus product of the combined group were obviously lower (P < 0.001), the incidence of hypoglycemia and hyperglycemia of the combined group was obviously lower (P < 0.05), the total compliance rate of the combined group was obviously higher (P < 0.05), and the SAS score of the combined group was obviously lower (P < 0.001).

Conclusion: With conspicuous intervention effect, systematic diet education combined with multidisciplinary nursing is a reliable method that can improve the nutritional status and levels of calcium and phosphorus metabolism, enhance treatment compliance, and reduce anxiety. Further research will help to provide a better solution for patients. This trial is registered with ChiCTR2200057011.

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Conflict of interest statement

The authors declare that they have no conflicts of interest associated with this work.

Figures

Figure 1
Figure 1
Comparison of incidence of hypoglycemia and hyperglycemia [n (%)]. (a) The comparison of incidence of hypoglycemia between the two groups after intervention. The abscissa indicates the combined group and the conventional group, and the ordinate indicates cases of hypoglycemia. The incidence of hypoglycemia in the combined group and the conventional group after intervention was 2 cases (4.44%) and 9 cases (20.00%), respectively. ∗indicates the obvious difference in incidence of hypoglycemia between the two groups after intervention (X2 = 5.075, P < 0.05). (b) The comparison of incidence of hyperglycemia between the two groups after intervention. The abscissa indicates the combined group and the conventional group, and the ordinate indicates cases of hyperglycemia. The incidence of hyperglycemia in the combined group and the conventional group after intervention was 1 case (2.22%) and 7 cases (16.67%), respectively. ∗∗indicates the obvious difference in incidence of hyperglycemia between the two groups after intervention (X2 = 4.939, P < 0.05).
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