Nursing efficacy of ear point pressing with seeds combined with Roy adaptation model in maintenance hemodialysis for uremic patients
Objective To observe the nursing efficacy of ear point pressing with seeds combined with Roy adaptation model in maintenance hemodialysis(MHD)for patients with uremia.Methods Sixty uremic patients admitted to the Nephrology Department of the Second People's Hospital of Hunan Province from April 2023 to April 2024 were included and all underwent MHD.They were divided into a control group(n=30)and an observation group(n=30)using the random number table method.The control group received routine nursing care and the Roy adaptation model-based nursing,while the observation group received additional ear point pressing with seeds on the basis of the control group's nursing care.The scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),coping styles,Pittsburgh Sleep Quality Index(PSQI)scores,and Self-Rating Scale of Sleep(SRSS)scores were compared between the two groups after eight weeks of intervention.Results After the intervention,the scores of HAMA,HAMD,PSQI,SRSS,and negative coping decreased(P<0.05),while the positive coping score increased(P<0.05)in both groups.Compared with the control group,the observation group had lower scores of HAMA,HAMD,PSQI,SRSS,and negative coping(P<0.05),as well as a higher positive coping score(P<0.05).Conclusion The ear point pressing with seeds combined with Roy adaptation model can alleviate negative emotions,encourage the adoption of positive coping strategies,and enhance sleep quality in uremic patients undergoing MHD.
uremiamaintenance hemodialysisear point pressing with seedsRoy adaptation modelsimple coping stylesleep quality