Effect of individualized nutrition nursing on quality of life and nutritional status of maintenance hemodialysis patients with diabetes nephropathy
个体化营养护理对糖尿病肾病维持性血液透析患者生活质量及营养状况的影响

摘要

目的 就个体化营养护理对糖尿病肾病维持性血液透析患者生活质量及营养状况的影响进行探究分析。方法 选取本院肾脏内科2024年5月-2025年5月收治的76例糖尿病肾病维持性血液透析患者为探究对象。随机分为对照组与观察组各38例。对照组给予常规护理干预，观察组在对照组干预基础上给予个体化营养护理干预。结果 干预2个月后观察组患者血清白蛋白（ALB）、前白蛋白（PAB）、血红蛋白（Hb）、血清总蛋白（TP）、血肌酐（Scr）及生活质量评分均优于对照组（P＜0.05）。结论 个体化营养护理可有效改善糖尿病肾病维持性血液透析患者的营养状况，显著提升其生活质量，对优化患者预后具有积极作用。

Abstract

Objective To explore and analyze the effect of individualized nutritional care on the quality of life and nutritional status of maintenance hemodialysis patients with diabetes nephropathy.
Methods 76 cases of maintenance hemodialysis patients with diabetes nephropathy admitted to the Department of Nephrology from May 2024 to May 2025 were selected as the research objects. Randomly divided into a control group and an observation group, with 38 cases in each group. The control group received routine nursing intervention, while the observation group received individualized nutritional nursing intervention on the basis of the control group intervention.
Results After 2 months of intervention, the observation group had better serum albumin (ALB), prealbumin (PAB), hemoglobin (Hb), total serum protein (TP), creatinine (Scr), and quality of life scores than the control group (P<0.05).
Conclusion   Individualized nutritional care can effectively improve the nutritional status of maintenance hemodialysis patients with diabetes nephropathy, significantly improve their quality of life, and have a positive role in optimizing the prognosis of patients.