Clinical Researches
Summary of the best evidence for the management of hyperphosphatemia in adult maintenance hemodialysis patients
Fan Xiaobo, Cui Li, Jiang Yanping, Wang Gang, Li Qianqian, Wang Jingyuan, Li Chunmei, Wei Lili
Published 2023-11-26
Cite as Chin J Mod Nurs, 2023, 29(33): 4557-4563. DOI: 10.3760/cma.j.cn115682-20230404-01317
Abstract
ObjectiveTo retrieve, evaluate and summarize the relevant evidence on the management of hyperphosphatemia in adult maintenance hemodialysis patients.
MethodsDomestic and foreign databases and relevant professional websites were searched for best practices, evidence summaries, guidelines, expert consensus and systematic reviews on hyperphosphatemia in adult maintenance hemodialysis patients. The retrieval time was from the establishment of the databases to January 2023. The methodological quality of the included articles was evaluated, and the best evidence was extracted and summarized.
ResultsA total of 13 articles were included, including 2 clinical decisions, 4 guidelines and 7 systematic reviews. A total of 23 evidences were summarized from 5 aspects, including blood phosphorus monitoring, adequate dialysis, diet control, drug management and health education.
ConclusionsThis study summarizes the best evidence on the management of hyperphosphatemia in maintenance hemodialysis patients and provides a reference for clinicians to manage hyperphosphatemia in adult maintenance hemodialysis patients.
Key words:
Hyperphosphatemia; Hemodialysis; Evidence summary; Evidence-based nursing
Contributor Information
Fan Xiaobo
Blood Purification Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Cui Li
Blood Purification Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Jiang Yanping
Pediatric Hematology and Oncology Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wang Gang
Department of Critical Medicine, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Li Qianqian
Nursing Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wang Jingyuan
Department of Neurology, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Li Chunmei
Blood Purification Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wei Lili
Nursing Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China