Immediate and delayed memory recall patterns of chronic hemodialysis adult hispanic patients.
Immediate and delayed memory recall patterns of chronic hemodialysis adult hispanic patients.
复制标题
慢性血液透析成年西班牙裔患者的即时和延迟记忆回忆模式。
DOI：
10.1053/jren.2003.50029
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
R. Blanchard
中科院分区：
文献类型：
--
作者：
P. Harum;O. Galvez;L. G. Mayol;R. Blanchard
目的
通过评估治疗前、治疗中和治疗后的记忆回忆评分，确定对血液透析患者进行营养教育的最有效时间。
设计
前瞻性、准实验性队列。
科目
62例西班牙裔成人血液透析患者（38例男性和24例女性，29 - <65 years of age and 32 >65岁）。年龄在18 - 85岁之间，接受血液透析至少1个月的患者。患者识字，能够看到和听到没有损害。
设置
血液透析诊所。
干预
在透析前、透析期间和透析后向患者展示的5x 8层压双面卡片上用大号印刷体印刷的15个简单单词（英语和西班牙语）。
方法
患者在透析前被显示5个不同的单词，透析期间再显示5个单词，透析后再显示5个单词。每次，患者都被要求立即回忆以评估短期记忆回忆。然后在5到10分钟后（透析前、透析中和透析后）询问患者看到了什么单词，以评估长期记忆回忆。
主要观察指标
患者在透析前、透析中或透析后是否记得更多？
结果
糖尿病和非糖尿病受试者之间或性别之间的记忆回忆分数没有显着差异。结果表明，与透析治疗有关的回忆时间对65岁以上的患者可能很重要。当比较完成小学的受试者与完成高中和大学的受试者时，发现了显着差异。本研究中发现的证据与Smith和温斯洛在其1990年研究中的发现一致，即与治疗期间相比，在血液透析治疗前给予受试者完成测量认知功能的任务所需的时间更少。
结论
随着年龄的增长，记忆能力可能会下降。随着教育水平的提高，记忆能力可能会提高。在血液透析治疗前提供营养教育可能比治疗期间和治疗后更有益。血液透析患者在治疗后保留的教育信息可能会受到患者教育水平和年龄的严重影响。
OBJECTIVE
To determine the most effective time to administer nutrition education to hemodialysis patients by evaluating memory recall scores before, during, and after treatment.
DESIGN
Prospective, quasi experimental cohort.
SUBJECTS
Sixty-two adult Hispanic hemodialysis patients (38 men and 24 women, 29 <65 years of age and 32 >65 years of age). Patients, between 18 and 85 years of age, who have been on hemodialysis at least one month. Patients were literate and able to see and hear without impairment.
SETTING
Hemodialysis clinic.
INTERVENTION
Fifteen simple words (English and Spanish) in large print on 5 x 8 laminated 2-sided cards that were shown to the patient before, during, and after dialysis.
METHODS
Patients were shown 5 different words before going on dialysis, 5 more words during dialysis, and 5 more words after dialysis. Each time, the patient was asked for immediate recall to assess short-term memory recall. Patients were then asked 5 to 10 minutes later (before, during, and after dialysis) what words were seen to assess long-term memory recall.
MAIN OUTCOME MEASURE
Did patients remember more before, during, or after dialysis?
RESULTS
There were no significant differences in memory recall scores between diabetic and nondiabetic subjects or by gender with respect to memory recall scores. Results imply that time of recall in relation to dialysis treatment may be important for those above 65 years of age. A significant difference was found when comparing those subjects completing elementary school to those subjects completing high school and college. The evidence found in this study was in accordance with the findings of Smith and Winslow in their 1990 study showing subjects required less time to complete a task measuring cognitive function when it was given before hemodialysis treatment, as compared with during the treatment.
CONCLUSION
As age increases, recall ability likely will decrease. As education level increases, recall ability will likely increase. Providing nutrition education before the hemodialysis treatment occurs may be more beneficial than during and after the treatment. The educational information that a hemodialysis patient retains after treatment may be seriously impacted by the patient's education level and age.