饮食护理联合运动睡眠指导在维持性血液透析中的应用效果

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Effect of Dietary Nursing Combined with Exercise and Sleep Guidance in Maintenance Hemodialysis Patients

YANG Ke

（Second Afliated Hospital of BengBu Medical University，Anhui Province，Bengbu 233Ooo，China）

AbstractObjective：Toanalyzetheclinicalefectof dietarynursingcombined with exerciseandsleepguidance inpatients undergoingmaintenancehemodialysis.Methods：Atotalof6OmaintenancehemodialysispatientsadmitedtotheSecondAffiliated Hospitalof Bengbu MedicalUniversityfrom April2023 to March2O25wereselectedandrandomlydivided intoacontrolgroup andanobservationgroup，with3Ocases ineachgroup，using therandomnumber table method.Duringthetreatmentperiod，the controlgroupreceivedroutinenursingcare，whiletheobservationgroupreceivedenhanced dietary nursingcombinedwithexercise andsleepgudane.Factorsifuencingsleepdisordersreanaled，anddierencesinsleepqualitysores，utritioaldicators，andthe incidenceof adverse events werecompared betwenthetwo groups.Results：Among theinfluencing factorsofsleep disorders，the top three were heavy economic burden （23.33% ），concern about prognosis （ 20.00% ），and dialysis duration ⩾12 months（ 16.67% ）.Afterthe intervention，the Pitsburgh Sleep Quality Index（PSQI）and Insomnia Severity Index（ISI） scores in both groups significantly decreased，with lower scores observed intheobservation group compared with thecontrol group（ P< （204号 0.05）.Thelevelsofalbuminmoglobinandtransferininbothgroussigificantlyncreasedafterinterventionithgealues in the observation group（ P<0.05 ）.Furthermore，the incidence of adverse events was significantly lower in the observation group than in the control group（ P<0.05） . Conclusion： Sleep disorders are common among maintenance hemodialysis patients， with multiplecontributing factors.Strengthening dietary nursing combined with exerciseand sleep guidance can improve sleep quality and nutritional status while reducing the incidence of adverse events，showing considerable clinical value.

KeywordsEnd-stage renal disease；Hemodialysis；Sleepdisorder；Dietary nursing；Exercise intervention; Sleepguidance; Nutritional status； Adverse events

中图分类号：R692;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.08.033

终末期肾病患者治疗过程中，维持性血液透析是一种常用方案，经治疗能改善机体内环境，延长生存时间[1]。（剩余5171字）