การส่งเสริมพฤติกรรมการบริโภคอาหารและนํ้าของผู้ป่วยโรคไตเรื้อรัง: บทบาทพยาบาล
คำสำคัญ:
พฤติกรรมการบริโภคอาหารและน้ำ, โรคไตเรื้อรัง, บทบาทพยาบาลบทคัดย่อ
การบริโภคอาหารประเภทโปรตีน เกลือแร่ และนํ้าอย่างถูกต้อง จะช่วยให้ไตไม่ต้องทําหน้าที่มากเกินไป ลดการบาดเจ็บ การอักเสบและการเกิดพังผืดที่ไตได้ นอกจากนี้การควบคุมการรับประทานอาหารประเภทไขมัน ยังช่วยลดการเกิดภาวะหลอดเลือดที่ไปเลี้ยงไตแข็งตัว ทําให้มีเลือดไปเลี้ยงไตอย่างเพียงพอ ทั้งนี้ จะเห็นได้ว่าการควบคุมอาหารและน้ำในผู้ป่วยโรคไตเรื้อรังจะช่วยชะลอความความเสื่อมของไต ส่งเสริมให้ผู้ป่วยมีพฤติกรรมการบริโภคอาหารและนํ้าที่ถูกต้องเหมาะสม และชะลอการบําบัดทดแทนไตให้ช้าลง ซึ่งจะช่วยชะลอความเสื่อมของไต ลดการเกิดภาวะแทรกซ้อน และส่งเสริมคุณภาพชีวิตที่ดีของผู้ป่วยโรคไตเรื้อรัง
References
Al-Ageel, N. A., Al-Aqeel, S. A., Abanmy, N. O., Alwakeel, J. S., Sabry, A., & Alsaran, K. A. (2012). Appropriateness of anemia management in hemodialysis patients. Saudi Pharmaceutical Journal, 20(1), 85-91. doi: 10.1016/j.jsps.2011.08.007.
Beerappa, H., & Chandrababu, R. (2019). Adherence to dietary and fluid restrictions among patients undergoing hemodialysis: An observational study. Clinical Epidemiology and Global Health, 7(1), 127-130. doi: 10.1016/j.cegh.2018.05.003.
Bellizzi, V., Calella, P., Carrero, J. J., & Fouque, D. (2018). Very low-protein diet to postpone renal failure: Pathophysiology and clinical applications in chronic kidney disease. Chronic Diseases and Translational Medicine, 4(1), 45–50. https://doi.org/10.1016/j.cdtm.2018.01.003
Bellizzi, V., Cupisti, A., Locatelli, F., Bolasco, P., Brunori, G., Cancarini, G., Caria, S., De Nicola, L., Di Iorio, B. R., Di Micco, L., Fiaccadori, E., Garibotto, G., Mandreoli, M., Minutolo, R., Oldrizzi, L., Piccoli, G. B., Quintaliani, G., Santoro, D., Torraca, S., Viola, B. F., & Conservative Treatment of CKD study group of the Italian Society of Nephrology. (2016). Low-protein diets for chronic kidney disease patients: the Italian experience. BMC nephrology, 17(1), 77. https://doi.org/10.1186/s12882-016-0280-0
Bello, A. K., Alrukhaimi, M., Ashuntantang, G. E., Basnet, S., Rotter, R. C., Douthat, W. G., Kazancioglu, R., Köttgen, A., Nangaku, M., Powe, N. R., White, S. L., Wheeler, D. C., & Moe, O. (2017). Complications of chronic kidney disease: Current state, knowledge gaps, and strategy for action. Kidney International Supplements, 7(2), 122–129. https://doi.org/10.1016/j.kisu.2017.07.007
Clark, W. F., Huang, S. H., Garg, A. X., Gallo, K., House, A. A., Moist, L., Weir, M. A., & Sontrop, J. M. (2017). The chronic kidney disease water intake trial: Protocol of a randomized controlled trial. Canadian Journal of Kidney Health and Disease, 4, 2054358117725106. https://doi.org/10.1177/2054358117725106
Crockell, Y. J. (2012). Management of chronic kidney disease: An emphasis delaying disease progression and treatment options. Formulary, 47, 228-237. https://bit.ly/3iIUiPo
Cupisti, A., Brunori, G., Di Iorio, B. R., D'Alessandro, C., Pasticci, F., Cosola, C., Bellizzi, V., Bolasco, P., Capitanini, A., Fantuzzi, A. L., Gennari, A., Piccoli, G. B., Quintaliani, G., Salomone, M., Sandrini, M., Santoro, D., Babini, P., Fiaccadori, E., Gambaro, G., Garibotto, G., & Gesualdo, L. (2018). Nutritional treatment of advanced CKD: Twenty consensus statements. Journal of Nephrology, 31(4), 457–473. https://doi.org/10.1007/s40620-018-0497-z
Eckfeldt, J. H., & Levey, A. S. (2017). Estimating Glomerular Filtration Rate Using Serum Creatinine. Clinical Chemistry, 63(6), 1161-1162. https://doi.org/10.1373/clinchem.2016.262352
Fadupin, G. T., & Egwu, O. R. (2011). Fish and egg white diet in non dialyzing in patient with moderate chronic kidney disease. African Journal of Biomedical Research, 14(2), 95-101. https://www.ajol.info/index.php/ajbr/article/view/95239
Fincham, D., Kagee, A., & Moosa, M. R. (2008). Dietary and fluid adherence among hemodialysis patients attending public sector hospitals in the western cape. South African Journal of Clinical Nutrition, 21(2), 7-12. https://doi.org/10.1080/16070658.2008.11734155
Gennari, F. J., Hood, V. L., Greene, T., Wang, X., & Levey, A. S. (2006). Effect of dietary protein intake on serum total CO2 concentration in chronic kidney disease: Modification of diet in renal disease study findings. Clinical journal of the American Society of Nephrology: CJASN, 1(1), 52–57. https://doi.org/10.2215/CJN.00060505
Lambers Heerspink, H. J., Navis, G., & Ritz, E. (2012). Salt intake in kidney disease--a missed therapeutic opportunity?. Nephrology Dialysis Transplantation, 27(9), 3435–3442. https://doi.org/10.1093/ndt/gfs354
Hildebrand, A., Komenda, P., Miller, L., Rigatto, C., Verrelli, M., Sood, A. R., Sathianathan, C., Reslerova, M., Eng, L., Eng, A., & Sood, M. M. (2010). Peritonitis and exit site infections in First Nations patients on peritoneal dialysis. Clinical journal of the American Society of Nephrology: CJASN, 5(11), 1988–1995. https://doi.org/10.2215/CJN.04170510
Ko, G. J., Obi, Y., Tortorici, A. R., & Kalantar-Zadeh, K. (2017). Dietary protein intake and chronic kidney disease. Current Opinion in Clinical Nutrition and Metabolic Care, 20(1), 77–85. https://doi.org/10.1097/MCO.0000000000000342
Kabello, B. G., Idris, M., Alhaj, H. I., & Gadour, M. E. (2010). Psychological disorders and Quality of life among sudanese dialysis patients and renal transplant recipient. Sudan Journal of Medical Sciences, 5(1), 29-35. doi: 10.4314/sjms.v5i1.56028
Kinsella, S., Chavrimootoo, S., Molloy, M. G., & Eustace, J. A. (2010). Moderate chronic kidney disease in women is associated with fracture occurrence independently of osteoporosis. Nephron Clinical practice, 116(3), c256–c262. https://doi.org/10.1159/000317207
Kutlugün, A. A., Arıcı, M., Yıldırım, T., Turgut, D., Yılmaz, R., Altındal, M., Altun, B., Erdem, Y., Yasavul, U., & Turgan, C. (2011). Daily sodium intake in chronic kidney disease patients during nephrology clinic follow-up: An observational study with 24-hour urine sodium measurement. Nephron. Clinical Practice, 118(4), c361–c366. https://doi.org/10.1159/000323392
Lorenzo, V. (2014). Doctor, how much should I drink?. Nefrologia: Publicacion Oficial de la Sociedad Espanola Nefrologia, 34(6), 693-697. doi: 10.3265/nefrologia.pre2014.jul.12610.
Martínez-Castelao, A., Górriz, J. L., Portolés, J. M., De Alvaro, F., Cases, A., Luño, J., Navarro-González, J. F., Montes, R., De la Cruz-Troca, J. J., Natarajan, A., & Batlle, D. (2011). Baseline characteristics of patients with chronic kidney disease stage 3 and stage 4 in Spain: The MERENA observational cohort study. BMC nephrology, 12, 53. https://doi.org/10.1186/1471-2369-12-53
Moe, S. M., Zidehsarai, M. P., Chambers, M. A., Jackman, L. A., Radcliffe, J. S., Trevino, L. L., Donahue, S. E., & Asplin, J. R. (2011). Vegetarian compared with meat dietary protein source and phosphorus homeostasis in chronic kidney disease. Clinical Journal of the American Society of Nephrology: CJASN, 6(2), 257–264. https://doi.org/10.2215/CJN.05040610
Molto, C. I., Roig, S. L., & Paster, M. A. (2012). Prevalence of adherence to fluid restriction in kidney patients in haemodialysis: Objective indicator and perceived compliance. Nefrologia: Publicacion oficial de la Sociedad Espanola Nefrologia, 32(4), 477–485. https://doi.org/10.3265/Nefrologia.pre2012.Feb.11236
Mun, K. H., Yu, G. I., Choi, B. Y., Kim, M. K., Shin, M. H., & Shin, D. H. (2019). Association of dietary potassium intake with the development of chronic kidney disease and renal function in patients with mildly decreased kidney function: The Korean Multi-Rural Communities Cohort Study. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 25, 1061–1070. https://doi.org/10.12659/MSM.913504
Murtaugh, M. A., Filipowicz, R., Baird, B. C., Wei, G., Greene, T., & Beddhu, S. (2012). Dietary phosphorus intake and mortality in moderate chronic kidney disease: NHANES III. Nephrology Dialysis Transplantation, 27(3), 990–996. https://doi.org/10.1093/ndt/gfr367
National Kidney Foundation (2015). KDOQI clinical practice guideline for hemodialysis adequacy: 2015 update. American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation, 66(5), 884–930. https://doi.org/10.1053/j.ajkd.2015.07.015
Palmer, S. C., Navaneethan, S. D., Craig, J. C., Johnson, D. W., Perkovic, V., Hegbrant, J., & Strippoli, G. F. M. (2014). HMG CoA reductase inhibitors (statins) for people with chronic kidney disease not requiring dialysis. Sao Paulo Medical Journal, 133(6), 541-542. https://doi.org/10.1590/1516-3180.20151336T2
Plantinga, L. C., King, L. M., Masud, T., Shafi, T., Burkart, J. M., Lea, J. P., & Jaar, B. G. (2018). Burden and correlates of readmissions related to pulmonary edema in US hemodialysis patients: A cohort study. Nephrology Dialysis Transplantation, 33(7), 1215–1223. https://doi.org/10.1093/ndt/gfx335
Post, J. B., Jegede, A. B., Morin, K., Spungen, A. M., Langhoff, E., & Sano, M. (2010). Cognitive profile of chronic kidney disease and hemodialysis patients without dementia. Nephron Clinical Practice, 116(3), c247–c255. https://doi.org/10.1159/000317206
Qi, M. W., Ang, J. Y., & Chritensen, M. (2011). Meeting the nutrition challenge of stage 3 kidney failure: Considerations for nursing practice. Singapore Nursing Journal, 38(4), 10-13. http://ezproxy.uws.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104557906&site=ehost-live&scope=site
Rodríguez, E. C., Pizarro-Sánchez, S., Sanz, A. B., Ramos, A. M., Sanchez-Niño, M. D., Martin-Cleary, C., Fernandez-Fernandez, B., & Ortiz, A. (2017). Inflammatory Cytokines as Uremic Toxins: "Ni Son Todos Los Que Estan, Ni Estan Todos Los Que Son". Toxins, 9(4), 114. https://doi.org/10.3390/toxins9040114
Stauffer, M. E., & Fan, T. (2014). Prevalence of anemia in chronic kidney disease in the United States. PloS One, 9(1), e84943. https://doi.org/10.1371/journal.pone.0084943
Vegter, S., Perna, A., Postma, M. J., Navis, G., Remuzzi, G., & Ruggenenti, P. (2012). Sodium intake, ACE inhibition, and progression to ESRD. Journal of the American Society of Nephrology: JASN, 23(1), 165–173. https://doi.org/10.1681/ASN.2011040430
Viasus, D., Garcia-Vidal, C., Cruzado, J. M., Adamuz, J., Verdaguer, R., Manresa, F., Dorca, J., Gudiol, F., & Carratalà, J. (2011). Epidemiology, clinical features and outcomes of pneumonia in patients with chronic kidney disease. Nephrology Dialysis Transplantation, 26(9), 2899–2906. https://doi.org/10.1093/ndt/gfq798
Weckmann, G., Stracke, S., Haase, A., Spallek, J., Ludwig, F., Angelow, A., Emmelkamp, J. M., Mahner, M., & Chenot, J. F. (2018). Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: A systematic review of clinical practice guidelines. BMC nephrology, 19(1), 258. https://doi.org/10.1186/s12882-018-1048-5
