Effects of comprehensive nursing intervention in hemodialysis patients with renal failure
Objective To investigate the effects of comprehensive nursing intervention based on nutrition,psychology and exercise on the nutritional status,psychological status,quality of life and complications in hemodialysis patients with re-nal failure.Methods Totally 106 patients with renal failure admitted to Huaihe Hospital of Henan University from Janu-ary 1,2021 to July 31,2022 were selected as research objects and divided into traditional nursing group and comprehen-sive nursing group by random number table method,with 53 cases in each group.Both groups received hemodialysis treatment,the traditional nursing group was treated with traditional nursing intervention,and the comprehensive nursing group was treated with comprehensive nursing intervention based on nutrition,psychology and exercise.The nutritional status[serum albumin(ALB),hemoglobin(Hb)and prealbumin(PA)],psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],health behavior[(health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)],self-efficacy[general self-efficacy scale(GSES)],quality of life[kidney disease quality of life short form(KDQOL-SFTM)],treatment compliance and complications were compared between the two groups.Results After 3 months of intervention,the levels of ALB,Hb,and PA in both groups were higher than those before the intervention,and the ser-um level of ALB in the comprehensive nursing group was(43.18+3.89)g/L,which was higher than that in traditional nursing group(38.42±3.77)g/L,F=21.417,P＜0.001;the serum level Hb was(115.74±5.62)g/L,which was higher than that in traditional nursing group(101.33+5.44)g/L,F=89.945,P＜0.001;serum level of PA was(310.36±7.38)mg/L,which was higher than that in traditional nursing group(280.43±7.04)mg/L,F=230.371,P＜0.001.SDS,SAS and KDQOL-SFTM scores in 2 groups were lower than those before intervention,the score of SDS in the comprehensive nursing group was(48.32±3.48)points,which was lower than that in the traditional nursing group(52.45±3.37)points,F=19.090,P＜0.001;the score of SAS was(49.25±3.27)points,which was lower than that in the traditional nursing group(51.85±3.35)points,F=8.914,P＜0.001;the score of KDQOL-SFTM was(49.72±4.89)points,which was lower than that in the traditional nursing group(55.38±4.75)points(F=20.423,P＜0.001).HPLP-Ⅱ and GSES scores in 2 groups were higher than those before intervention,the score of HPLP-Ⅱ in the comprehensive nursing group was(136.47±6.94)points,which was lower than that in the traditional nursing group(118.45+7.35)points,F=89.387,P＜0.001;the score of GSES was(30.51+2.87)points,which was lower than that in the traditional nursing group(26.75±2.94)points,F=21.893,P＜0.001.The treatment compliance of the comprehensive nursing group(96.23％)was higher than that of the traditional nursing group(83.02％),the difference was statistically significant,x2=4.970,P=0.026;the complication rate(7.55％)was lower than that of the traditional nursing group(22.64％),the difference was statistically significant,x2=4.711.P=0.030.Conclusion Comprehensive nursing intervention based on nutrition,psychology and exercise can improve the nutritional status and negative psycho-logical state of hemodialysis patients with renal failure,improve self-efficacy and treatment compliance,establish healthy behaviors,reduce the risk of complications,and improve the quality of life.
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