Objective To explore intervention measures for the psychological health status of long-term maintenance hemodialysis patients,including sleep and emotions,under special closed management conditions.Methods 66 long-term hemodialysis patients under closed management conditions were selected,and their mental health status was evaluated using the Pittsburgh Sleep Quality Index(PSQI),Symptom Checklist-90(SCL-90),Self Rating Depression Scale(SDS),and Self Rating Anxiety Scale(SAS).Analyze the correlation between the scale scores of selected patients and their age,duration of hemodialysis,parathyroid hormone(PTH),hemoglobin,blood calcium,blood phosphorus,serum pre protein levels,and explore the influencing factors of their psychological,sleep,and emotional disorders.Results According to the PQSI,SAS,and SDA scoring criteria,77.27%of individuals had sleep problems,53%had anxiety,and 88%had depression.The overall average SCL-90 score of maintenance hemodialysis participants in closed management facilities was higher than the national norm(P<0.05).Conclusion The overall mental health level of maintenance hemodialysis patients in special closed management places is generally low and needs attention.