Systematic CGA Model of Care Versus SFA Model in Hemodialysis for Uremia and its Effect on GDF15,HPMCs and Complications
Objective:To investigate the application of the systematic CGA model of care versus the SFA model in hemodialysis for uremia and its impact on GDF15,HPMCs and complications.Methods:60 cases of uremic patients admitted to the hospital from August 2021 to August 2022 were selected as study subjects and randomly divided into two groups.The control group was cared for using the SFA model and the study group was cared for using the systematic CGA model.QOL-LC scores,Herth Hope Scale scores,GDF15,HPMCs,and complications were compared between the two groups.Results:At the time of discharge and 15 d after discharge,the QOL-LC scores and Herth Hope Scale scores of the study group were significantly higher than those of the control group,and the differences were statistically significant(t=3.888,3.062;t=3.813,4.703;P<0.05).At 15 d after discharge,the GDF-15 level of the study group was significantly lower than that of the control group,and the difference was statistically significant(t=3.029,P<0.05).The chances of complications were lower in the study group than in the control group,and the difference was statistically significant(χ2=12.500,P<0.05).Conclusion:In the treatment process of maintenance hemodialysis for uremic patients,combining with the patients'condition to give scientific CGA nursing model intervention can help patients improve the QOL-LC score,Herth score,and improve the overall therapeutic effect.