คำแนะนำแนวทางเวชปฏิบัติโภชนบำบัดสำหรับผู้ป่วยโรคไตในผู้ใหญ่ พ.ศ. 2561

  • ศิรินทร์ จิวากานนท์ กลุ่มงานอายุรกรรม โรงพยาบาลหาดใหญ่
  • ดรุณีวัลย์ วโรดมวิจิตร สาขาวิชาโภชนวิทยาและชีวเคมีทางการแพทย์ ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • อุปถัมภ์ ศุภสินธุ์ หน่วยโรคไต กองอายุรกรรม โรงพยาบาลพระมงกุฎเกล้า
  • ประพิมพ์พร ฉัตรานุกูลชัย สาขาวิชาโภชนวิทยาและชีวเคมีทางการแพทย์ ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • วีระเดช พิศประเสริฐ สาขาวิชาโภชนวิทยาคลินิก ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยขอนแก่น
  • อาคม นงนุช หน่วยไต ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • กุลวิชย์ ตรองตระกูล ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์วชิรพยาบาล มหาวิทยาลัยนวมินทราธิราช
  • ไกรวิพร เกียรติสุนทร สาขาวิชาวักกะวิทยา ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
  • ชนิดา ปโชติการ สถาบันโภชนาการ มหาวิทยาลัยมหิดล
  • ดาราพร รุ้งพราย ภาควิชาเภสัชกรรม คณะเภสัชศาสตร์ มหาวิทยาลัยศิลปากร
  • ศานิต วิชานศวกุล หน่วยโภชนาการคลินิก ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยธรรมศาสตร์
  • จุฑาธิป ลิ้มคุณากูล แผนกอายุรกรรม ศูนย์การแพทย์ปัญญานันทภิกขุฯ (โรงพยาบาลชลประทาน)
  • นันทพร เติมพรเลิศ หน่วยโภชนศาสตร์คลินิก กองอายุรกรรม โรงพยาบาลพระมงกุฎเกล้า
  • ปิยวรรณ กิตติสกุลนาม ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย
  • สิรกานต์ เตชะวณิช หน่วยโภชนศาสตร์คลินิก กองอายุรกรรม โรงพยาบาลพระมงกุฎเกล้า
  • อภิรมย์ เหล่าเจริญเกียรติ ฝ่ายเภสัชกรรม คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
  • จริยา บุญภัทรรักษา หน่วยโภชนาการ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี โรงพยาบาลรามาธิบดีจักรีนฤบดินทร์
  • นัธิดา บุญกาญจน์ หน่วยโภชนศาสตร์คลินิก กองอายุรกรรม โรงพยาบาลพระมงกุฎเกล้า
  • ปิ่นแก้ว กล้ายประยงค์ หน่วยไต ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • ส่งศรี แก้วถนอม งานโภชนศาสตร์คลินิก โรงพยาบาลศิริราช
คำสำคัญ: โภชนบำบัด, โภชนาการ, โรคไต, ผู้ใหญ่, ผู้ป่วย, คำแนะนำ

บทคัดย่อ

ภาวะทุพโภชนาการเป็นปัญหาที่พบบ่อยในผู้ป่วยโรคไตในผู้ใหญ่ แต่ถูกละเลยจากบุคลากรทางการแพทย์ ส่งผลกระทบในทางลบต่อการทำงานของไต การรักษาความเจ็บป่วยที่ไม่ได้ประสิทธิผล การนอนโรงพยาบาลที่นานมากขึ้น ดังนั้นการดูแลทางโภชนาการเริ่มตั้งแต่การคัดกรองและประเมินผู้ป่วยโรคไตในผู้ใหญ่ที่มีความเสี่ยงต่อภาวะทุพโภชนาการ รวมถึงการให้โภชนบำบัดที่เหมาะสมจะช่วยทำให้ผลการรักษาดีขึ้น ลดภาวะแทรกซ้อนและค่าใช้จ่ายในการรักษา สิ่งสำคัญยิ่งในการดูแลทางโภชนาการแก่ผู้ป่วยจะประสบความสำเร็จได้ต้องอาศัยการทำงานร่วมกันของทีมสหสาขาวิชาชีพ คำแนะนำแนวทางเวชปฏิบัติโภชนบำบัดสำหรับผู้ป่วยโรคไตในผู้ใหญ่ฉบับนี้จัดทำโดยความร่วมมือระหว่างสมาคมผู้ให้อาหารทางหลอดเลือดดําและทางเดินอาหารแห่งประเทศไทยและสมาคมโรคไตแห่งประเทศไทยโดยมีจุดประสงค์เพื่อให้แพทย์และบุคลากรทางการแพทย์ใช้เป็นแนวทางในการดูแลผู้ป่วยโรคไตในผู้ใหญ่ที่มีอายุตั้งแต่ 18 ปีขึ้นไปอย่างมีระบบ เป็นขั้นตอนและทันยุคสมัย โดยรวบรวมข้อมูลจากการศึกษาที่เกิดขึ้นใหม่อย่างต่อเนื่อง เพื่อเป็นประโยชน์ในการดูแลผู้ป่วยโรคไตผู้ใหญ่ที่มีความเสี่ยงต่อภาวะทุพโภชนาการเพื่อทำให้ผลการดูแลรักษาผู้ป่วยโรคไตผู้ใหญ่ในประเทศไทยมีประสิทธิผลที่ดีขึ้น

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