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Abstract Objective： To explore the effect of psychological nursing， diet nursing and exercise therapy on hemodialysis patients with malnutrition. Method： In our hospital from 2013 February to 2014 February， 90 maintenance hemodialysis patient’s clinical data were analyzed retrospectively， and all cases were randomly divided into the experiment group， the observation group， and the control group， 30 cases in each group， three groups patients were given dialysis three times a week， every 4 hours. The control group used diet nursing therapy， the observation group received psychological nursing and diet nursing therapy， test group was treated with psychological nursing， diet nursing care plus exercise therapy. To observe and record the nutritional indexes of the three groups（ including serum albumin， body mass index， deltoid skinfold thickness， subjective comprehensive evaluation）. Result： The serum albumin， the experimental group BMI， deltoid skinfold thickness， the competent comprehensive assessment（ SGA） were significantly higher in patients with malnutrition， improve significantly， could significantly improve the life quality， there was significant difference between the three groups（ P<0.05）. Conclusion： Psychological nursing， diet nursing care plus exercise therapy can significantly improve the nutritional indexes in dialysis patients， reduce the mortality， improve the quality of life， the method of safety， efficacy significantly.
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