Abstract
In this paper, the strategy of elderly haemodialysis patients' care is analysed by the computer's decision system to conduct an in-depth research machine. Maintenance haemodialysis patients have a high demand for continuation care, and healthcare workers should provide personalized and specialized seamless continuation care services for patients according to patients' needs, by reasonably using the hospital, community, and other health resources and with the help of emerging network technologies, such as information platforms and wearable devices to prolong the survival period of patients and improve their self-management ability and quality of life. The service provision and compensation strategy of the combined healthcare model should be optimized to improve the health protection of the elderly and promote health equity. On the one hand, it should target strengthening the service provision of healthcare integration, guide the elderly to reasonably choose the healthcare integration model, and pay attention to the spiritual and cultural needs and end-of-life care services for the elderly. On the other hand, we should expand the financing channels of medical insurance, optimize the design of compensation mechanisms, explore the role of health risk sharing, and accelerate the development of long-term care insurance, independent of basic medical insurance. The reliability of the scale was found to be 0.916 for the total Cronbach alpha coefficient, 0.798–0.919 for each dimension, and 0.813 for the fold-half reliability of the scale; the validity indicated that the correlation coefficient range of each article day with the total scale score was 0.27–0.72, and the correlation coefficient range of each dimension with the total scale was 0.56–0.72. The validation factor analysis was used to verify the structure of the scale. The validation factor analysis indexes met the fitting criteria after correction. The model fitted better with the actual model after correction, indicating that the scale has good reliability.
Highlights
End-stage renal disease (ESRD) is the final stage of various chronic kidney diseases when patients have irreversible impairment of kidney function and need to rely on kidney transplantation or dialysis therapy to maintain their lives [1]
Patients on long-term dialysis are prone to malnutrition due to disease consumption, dietary restrictions, and treatment effects, and related studies have shown that the incidence of malnutrition in haemodialysis patients ranges from 37.50% to 86.0% [3]
Some patients fear overkill and do not restrict their dietary intake, which in turn leads to excessive intake of potassium and phosphorus, which can lead to complications [4]. erefore, healthcare professionals should strengthen the dietary guidelines for Journal of Healthcare Engineering patients with MHD
Summary
End-stage renal disease (ESRD) is the final stage of various chronic kidney diseases when patients have irreversible impairment of kidney function and need to rely on kidney transplantation or dialysis therapy to maintain their lives [1]. MHD patients’ survival and quality of life are often compromised by the irreversible disease process, complications, specificity of the haemodialysis treatment modality and treatment environment, and water and activity restrictions [2]. Most patients return to their homes, and due to the lack of guidance and supervision by healthcare professionals, their selfmanagement will be lax, making it difficult to adhere to longterm self-monitoring, diet, and water control, which in turn affects the effectiveness of dialysis, increases the risk of complications and adverse outcomes, and increases the burden on families and society. Reasonable control of interdialytic weight gain (IDWG) during dialysis and keeping IDWG within the normal range are important measures to reduce complications, such as dialysis-associated hypotension, and reduce the morbidity and mortality rate of MHD patients, and patients’ compliance with fluid intake is a key factor in the control of IDWG [5]. If psychological problems are not addressed promptly, they often affect the dialysis outcome and survival quality of patients and increase the risk of adverse events. erefore, nursing staff should provide extended nursing interventions for patients’ psychological problems, listen more to patients’ emotional confessions, give humanistic care, and actively seek family and social support to enhance patients’ confidence in treating the disease and improve their sense of well-being. ey need to explore the problems in volume management of PD patients with poor adherence to volume management behaviours to improve the targeting of intervention programs and evaluate the impact of an IMCHB-based volume management intervention program on promoting volume management behaviours, improving volume balance, and improving quality of life in PD patients
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