Analysis of Anxiety Status and Corresponding Nursing Measures in Long-term Hemodialysis Patients

Abstract

Objective: This study was conducted to evaluate the anxiety of patients with long-term hemodialysis and its corresponding nursing measures. Methods: This study employed a prospective observational design. The present study performed an anxiety questionnaire investigation among 150 patients who underwent long-term hemodialysis in our hospital between March 2020 and January 2022. Convenience sampling was used to select the participants. Data were collected using a structured questionnaire consisting of the Self-Rating Anxiety Scale (SAS), General Comfort Questionnaire (GCQ), Pittsburgh sleep quality index (PSQI), and Emotional Behavioral Dimensions section of the Body Quality Management Scale. The collected data were analyzed using SPSS 26.0 statistical software. Descriptive statistics, t-tests, and chi-square tests were employed for data analysis. Statistical significance was indicated by P<0.05. Results: The results of this study revealed that out of 150 patients undergoing long-term hemodialysis, 58 patients (38.66%) exhibited anxiety. The study group, receiving individualized care, showed significantly higher GCQ scores (82.64±5.65) compared to the control group (routine care) with scores of 71.89±5.25 (P<0.05). Furthermore, the study group demonstrated improved sleep quality, as indicated by lower PSQI scores (8.25±1.98) compared to the control group (12.88±2.94) (P<0.05). The study group also exhibited higher scores in emotional processing (11.89±1.39), partnership (15.14±1.94), and mental activity management (20.88±2.17) compared to the control group (9.12±1.21, 11.73±1.58, and 16.98±2.08, respectively) (P<0.05). Notably, the study group displayed lower levels of anxiety and depression, as evidenced by lower SAS scores (39.56±5.14) and SDS scores (31.71±3.89) compared to the control group (42.62±5.98 and 38.56±6.75, respectively) (P<0.05). In conclusion, individualized care interventions were found to enhance the comfort, sleep quality, and emotional management ability of patients undergoing long-term hemodialysis, while reducing anxiety and depression levels. Conclusion: Anxiety is highly prevalent in patients with long-term hemodialysis. Targeted intervention care and the establishment of a positive environment can effectively promote patients’ physical and mental health, enhance their comfort and sleep quality, and effectively strengthen the management of negative emotions, demonstrating a promising potential for clinical promotion.