The influence of nutritional support combined with cognitive behavioral care on the immune capacity and psychological resilience of patients with end-stage renal disease undergoing hemodialysis
营养支持结合认知行为护理对终末期肾病血液透析患者免疫能力及心理弹性的影响

摘要

目的 分析在终末期肾病行血液透析治疗患者中采用营养支持配合认知行为护理的价值；方法 选取2023年1月至2025年1月在我院行血液透析治疗的80例终末期肾病患者，按照研究对象匹配性原则进行分组，各40例。对照组为常规护理，观察组联合营养支持及认知行为护理，比较两组免疫能力、心理弹性水平的变化情况；结果 干预后观察组各项免疫功能指标均显优（P<0.05）。干预后观察组心理弹性评分明显更高（P<0.05）；结论 将营养支持与认知行为护理联合应用于血液透析患者中，能够改善患者营养状态以提升免疫能力，并提高心理弹性水平，应用价值良好。

Abstract

Objective To analyze the value of nutritional support combined with cognitive-behavioral nursing in patients with end-stage renal disease undergoing hemodialysis treatment;
Methods Eighty patients with end-stage renal disease who underwent hemodialysis treatment in our hospital from January 2023 to January 2025 were selected and grouped according to the matching principle of the research subjects, with 40 patients in each group. The control group received routine care, while the observation group received combined nutritional support and cognitive-behavioral care. The changes in immune ability and psychological resilience levels between the two groups were compared;
Results After intervention, all immune function indicators in the observation group were significantly improved (P<0.05). After intervention, the psychological resilience score of the observation group was significantly higher (P<0.05);
Conclusion   The combined application of nutritional support and cognitive-behavioral nursing in hemodialysis patients can improve their nutritional status, enhance their immune function, and improve their psychological resilience, with good application value.