【摘要】 目的 探究对2型糖尿病肾病透析患者施以认知行为干预结合营养支持对其血糖控制及生活质量的影响。方法 选取2019年3月—2022年12月山东寿光市人民医院血液透析室收治的160例2型糖尿病肾病透析患者为研究对象，采用随机数字表法分为两组，对照组（80例）施以常规护理，观察组（80例）施以认知行为干预结合营养支持，对比两组健康知识掌握度、治疗依从性、干预前后血糖水平、营养状况、生活质量评分。结果 干预后，观察组的健康知识掌握度相比对照组高，差异有统计学意义（P<0.05）。观察组的治疗依从性相较于对照组高，差异有统计学意义（P<0.05）。干预前，两组血糖水平差异无统计学意义（P>0.05），干预后，观察组的FPG、2 hPG水平均比对照组低，差异有统计学意义（P<0.05）。干预前，两组营养状况比较，差异无统计学意义（P>0.05）；干预后，观察组的营养指标水平均比对照组高，差异有统计学意义（P<0.05）。干预前，两组生活质量评分比较，差异无统计学意义（P>0.05），干预后，观察组的生活质量评分相比对照组要高，差异有统计学意义（P<0.05）。结论 为2型糖尿病肾病透析患者提供营养支持联合认知行为干预的效果显著，可提升血糖控制效果，改善患者营养状况、生活质量，临床应用价值较高。更多还原

【Abstract】 Objective To explore the effect of cognitive behavioral intervention combined with nutritional support on blood glucose control and quality of life in patients with type 2 diabetic nephropathy.Methods 160 cases dialysis patients with type 2 diabetes nephropathy admitted to the hemodialysis room of Shouguang People’s Hospital in Shandong Province from March 2019 to December 2022 were selected as the research objects. They were randomly divided into two groups by using the method of random number table. The control group(80 cases) was given routine nursing care, and the observation group(80 cases) was given cognitive and behavioral intervention combined with nutritional support. The two groups were compared in their mastery of health knowledge, treatment compliance, blood glucose level before and after intervention, nutritional status Quality of life rating.Results After the intervention, the observation group had a higher level of mastery of health knowledge compared to the control group, and the difference was statistically significant(P<0.05). The treatment compliance of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in blood glucose levels between the two groups before intervention(P>0.05). After intervention, the FPG and 2 hPG levels in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). Before intervention, there was no statistically significant difference in nutritional status between the two groups(P>0.05); After intervention, the levels of nutritional status in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). Before intervention, there was no statistically significant difference in the quality of life scores between the two groups(P>0.05). After intervention, the quality of life scores of the observation group were higher than those of the control group, and the difference was statistically significant(P<0.05).Conclusion The effect of nutritional support combined with cognitive behavioral intervention for dialysis patients with type 2 diabetic nephropathy is significant, which can improve the effect of blood glucose control,improve the nutritional status and quality of life of patients, and has high clinical application value.更多还原