Abstract

Providing high-quality care to patients undergoing hemodialysis (HD) is a priority for nurses. The present study was conducted to explore the experiences of the quality of nursing care among patients, nurses, and caregivers in Yanghu Branch of Changzhou Second People's Hospital, China. A total of 120 hemodialysis patients consecutively admitted to Yanghu Branch of Changzhou Second People's Hospital were enrolled and divided into two groups according to the nursing method they received: control group (routine nursing) and experimental group (responsibility nursing). The two cohorts were observed and compared for alterations of adverse emotions and inflammatory factors, the incidence of complications, pre-and post-nursing sleep quality, life quality, and patients' satisfaction with nursing. After nursing, the Self-Rating Anxiety/Depression Scale (SAS/DS) scores were lower in the experimental group (EG) than in the control group (CG) (both P < 0.05). Serum IL-6, hs-CRP, and TNF-α were decreased in both groups after nursing and were even lower in EG (both P < 0.05). EG had significantly improved sleep quality and life quality than CG, with a higher nursing satisfaction (all P < 0.05). This validates that the responsibility nursing for dialysis patients can validly mitigate patients' negative emotions, improve their quality of life, and ensure high-quality dialysis effect, which is feasible for wide popularization and application in clinics.

Highlights

  • Hemodialysis is the mainstay of treatment for end-stage renal disease (ESRD), defined as the final stage of the irreversible decline of renal function caused by various kidney diseases

  • Patients can only rely on renal replacement therapy to survive [1, 2]. ere are currently three renal replacement therapy types for ESRD: hemodialysis, peritoneal dialysis, and kidney transplantation [3,4,5]

  • Recent years have witnessed an increasing proportion of ESRD caused by diabetes, as the number of diabetic patients increases with the continuous improvement of living standards and changes in lifestyle and diet [13]

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Summary

Introduction

Hemodialysis is the mainstay of treatment for end-stage renal disease (ESRD), defined as the final stage of the irreversible decline of renal function caused by various kidney diseases. At this stage, patients can only rely on renal replacement therapy to survive [1, 2]. The treatment of patients undergoing longterm dialysis is often complicated with cardiovascular and cerebrovascular diseases, anemia, renal osteopathic medicine, metabolic acidosis, electrolyte disorder, and other complications [14, 15] They are susceptible to dialysis-related depression, a type of somatic depression referring to a group of diseases with depressive symptoms caused by long-term maintenance hemodialysis (MHD) [16].

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