认知行为护理联合饮食干预对尿毒症血液透析患者营养指标改善分析谈芸芸

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《实用全科护理学》( ISSN3080-7638、EISSN3080-7646 )

发布者：Quest Press

发布日期：2025/10/9

10.12479/questpress-syqkhlx.20250218

Open Access

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认知行为护理联合饮食干预对尿毒症血液透析患者营养指标改善分析

谈芸芸

上海市嘉定区中心医院，上海，201800

摘要：目的探讨认知行为护理联合饮食干预对尿毒症血液透析患者营养指标改善效果。方法选择2023 年 2 月-2025 年 2 月我院收治的尿毒症血液透析患者 90 例，按照随机分组的方式分为对照组和实验组，对照组采取常规护理，实验组采取认知行为护理联合饮食干预。对比不同护理方式对患者的预后影响。结果实验组患者干预后的血红蛋白（Hb）、铁蛋白（SF）、转铁蛋白（TF）水平等营养指标均优于对照组，P＜0.05。实验组干预后的心理状态均优于对照组，P＜0.05。实验组的护理满意度高于对照组，P＜0.05。结论认知行为护理联合饮食干预能有效改善尿毒症血液透析患者的营养指标，优化心理状态并提高护理满意度，值得临床推广应用。
关健词：认知行为护理；饮食干预；尿毒症；血液透析；营养指标

Analysis of the Improvement of Nutritional Indicators in Uremic Hemodialysis Patients by Cognitive Behavioral Nursing Combined with Dietary Intervention

Yunyun Tan
Jiading District Central Hospital, Shanghai，Shanghai，201800 , China

Abstract：Objective To explore the effect of cognitive behavioral nursing combined with dietary intervention on improving the nutritional indicators of uremic patients undergoing hemodialysis. Methods A total of 90 uremic patients undergoing hemodialysis admitted to our hospital from February 2023 to February 2025 were selected and randomly divided into a control group and an experimental group. The control group received routine nursing, while the experimental group received cognitive behavioral nursing combined with dietary intervention. The prognostic effects of different nursing methods on patients were compared. Results After intervention, the levels of nutritional indicators such as hemoglobin (Hb), ferritin (SF), and transferrin (TF) in the experimental group were better than those in the control group, with P<0.05. The psychological state of the experimental group after intervention was better than that of the control group, with P<0.05. The nursing satisfaction of the experimental group was higher than that of the control group, with P<0.05. Conclusion Cognitive behavioral nursing combined with dietary intervention can effectively improve the nutritional indicators of uremic patients undergoing hemodialysis, optimize their psychological state and enhance nursing satisfaction, which is worthy of clinical promotion and application.
Keywords : cognitive behavioral nursing; dietary intervention; uremia; hemodialysis; nutritional indicators

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