Effect of hospital-community-family follow-up integrated nursing on maintenance hemodialysis patients
Objective To explore the effect of hospital-community-family follow-up integrated nursing on maintenance hemodialysis patients.Methods A total of 118 maintenance hemodialysis patients admitted to Zhenjiang First People's Hospital from January 2020 to December 2022 were enrolled.They were allocated into a control group and an observation group by drawing lots.The control group (59 cases) received routine nursing,while the observation group (59 cases) received hospital-community-family follow-up integrated nursing.The self-management and self-care abilities,psychological state,quality of life,and incidence of complications were compared between the two groups.Results After 3 months of nursing,the scores of self-management and self-care abilities of the observation group were higher than those of the control group ( all P<0.05 ),and both groups achieved higher scores compared with those before nursing ( all P<0.05 ).After 1 and 3 months of nursing,the Hamilton Anxiety Rating Scale scores,Hamilton Depression Rating Scale scores,and serum creatinine level in the observation group were lower than those in the control group,and the Short Form-36 Health Survey scores,albumin,and hemoglobin levels were higher than those in the control group ( all P<0.05 ).The above scores and indicators of both groups were better than those before nursing ( all P<0.05 ).Compared with the total incidence of complications in the control group ( 16.95％),the observation group ( 5.08％) had a lower incidence ( P<0.05 ).Conclusion Hospital-community-family follow-up integrated nursing model for patients undergoing maintenance hemodialysis can help improve their psychological state and self-management and self-care abilities,as well as improve their renal function,nutritional level,and quality of life,with a relatively low incidence of complications.
maintenance hemodialysishospital-community-family follow-up integrated nursingpsychological staterenal function
万方数据
维普
