| Objective: To observe the clinical effects of cognitive behavioral therapy (CBT) on nutritional status in maintenance hemodialysis (MHD) patients. Methods: Ninety MHD patients with malnutrition were randomly divided into two groups: the intervention group and the control group, with 45 cases in each group. The control group was given traditional health education, and the intervention group was given cognitive behavior therapy of 30 min before or during hemodialysis. After 6 months, malnutrition inflammatory score (MIS), quality of life (QOL) score (36 item short form health survey, SF 36), serum hemoglobin (Hb) and albumin (ALB) values were used to evaluate the differences of therapeutic efficacy between the two groups. Results: After treatment, MIS in the intervention group was significantly lower than that before treatment and that in the control group, and values of ALB and serum Hb were significantly increased (P<0.05). QOL SF 36 scores in the intervention group after treatment were significantly higher than those before and after treatment in the control group (P<0.05), but there was no significant difference in the control group before and after treatment (P>0.05). Conclusion: CBT can effectively intervene in the nutritional management, improve malnutrition and the QOF in MHD, and is worthy of further promotion in clinical practice. |
