行为阶段护理联合同伴教育对糖尿病合并尿毒症血液透析患者自护能力的影响

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[中图分类号]R587;R47 [文献标识码]A [文章编号]1672-4062（2026）03（a）-0142-04

The Impact of Behavioral Stages Nursing Combined with Peer Education on Self-care Ability of Patients with Diabetes Mellitus Complicated with Uremia Undergoing Hemodialysis

ZHOU Qiuling，LI Xiaoting，LIU Pingping Blood Purification Center，Anxi County Hospital，Quanzhou 3624Oo，Fujian，China [Abstract]Objective To explore the efect of behavioral stages nursing combined with peer education on the selfcareabilityof patientswith diabetesmelitus complicated withuremia undergoing hemodialysis.Methods Atotalof 100 patients with diabetes melitus complicated with uremia undergoing hemodialysis in Anxi County Hospital from January 2O24 to March 2O25 were selectedand divided into two groups of 5Ocases each based on diferent nursing methods.The control group received conventional nursing，while the study group was given behavioral stages nursing combined with peer education.The blood glucoselevels，self-careability，and qualityof lifeof thetwo groups were compared.Results Compared with the control group after nursing，the fasting blood glucose and 2-hour postprandial bloodglucoselevels inthestudygroup werelower，andtheself-careabilityandqualityoflifescoreswerehigher，and thedifferences were statistically significant （all P<0.05 ）.Conclusion Behavioral stages nursing combined with peer education can enhancetheself-care abilityof patients with diabetes melitus complicated with uremia undergoing hemodialysis，improve blood glucose levels，and improve the quality of life.

[KeyWords]Behavioral stage nursing; Peer education; Diabetesmelitus; Dialysis;Self-careability; Qualityof life

糖尿病合并尿毒症是常见慢性病，患者多采用透析治疗，但该群体透析过程中发生心脑血管意外、内瘘感染等并发症风险显著高于普通透析患者[-2]。（剩余4719字）