健康教育联合饮食疗法在低钾型周期性瘫痪患者中的应用

高峰利，杨琼，张维

（咸阳市中心医院神经内科，陕西 咸阳，712000）

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摘要：

目的 探讨健康教育联合饮食疗法在低钾型周期性瘫痪患者中的应用效果。方法 选取我院2015 年4 月至2016 年4月收 治的84 例低钾型周期性瘫痪患者，按照自愿原则分为对照组及研究组，各42 例。对照组行常规护理，研究组在对照组护理 基础上联合健康教育及饮食疗法进行干预，对比两组患者干预前、后血清醛固酮、血钾、尿钾水平及生活质量。结果治疗前，两组患者生活质量各项评分无明显差异（P>0.05）；治疗后，两组患者生活质量各项评分明显改善，研究组患者社会功能、躯 体功能、角色功能和认知功能评分明显优于对照组（P<0.05）。治疗前两组患者血清醛固酮、血钾及尿钾水平比较无明显 差异（P>0.05）；治疗后，两组患者血清醛固酮、血钾水平明显改善，且研究组患者优于对照组，差异具有统计学意义 （P<0.05）。结论 青壮年低钾型周期性瘫痪患者治疗及护理过程中，加强健康教育联合饮食疗法，可以有效充分补充钾元素，
提高生活质量。

关键词：健康教育；饮食疗法；低钾型周期性瘫痪

中图分类号：R473文献标志码：A文章编号：2096-1413(2018)06-0149-02

Application of health education combined with dietotherapy in patients with hypokalemic periodic paralysis
GAO Feng-li, YANG Qiong, ZHANG Wei
(Neurology Department, Xianyang Central Hospital, Xianyang 712000, China)

ABSTRACT: Objective To investigate the effect of education combined dietotherapy in patients with hypokalemic periodic paralysis. Methods Eighty -four patients with hypokalemic periodic paralysis treated in our hospital from April 2015 to April 2016 were selected, and divided into control group and study group according to the principle of voluntariness, with 42 cases in each group. The control group received routine nursing, the study group was intervened by health education and dietotherapy on the basis of the control group. The levels of serum aldosterone, blood potassium, urine potassium and quality of life before and after intervention were compared between two the groups. Results Before intervention, there was no significant difference in the quality of life scores of the two groups (P>0.05). After intervention, the quality of life scores of each group significantly improved, and the social function, physical function, role function and cognitive function scores of the study group were significantly better than the control group (P<0.05). Before intervention, there was no significant difference in serum aldosterone, serum potassium and urine potassium levels between the two groups (P>0.05). The serum aldosterone and serum potassium levels in the two groups were significantly improved after treatment and compared with the control group, those of the study group were better (P<0.05). Conclusion In the process of treatment and nursing for young patients with hypokalemic periodic paralysis, health education and dietotherapy should be strengthened, which can effectively supplement potassium elements and improve the quality of life.
KEYWORDS: health education; dietotherapy; hypokalemic periodic paralysis

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