JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v8i5.7359ArticleImpact of a Nurse-Led Chronic Disease Management Intervention Model on Quality of Care and Satisfaction of Maintenance Hemodialysis Patientshttps://artdesignp.com/journal/JCNR/8/5/10.26689/jcnr.v8i5.7359WangLanlan,LiJing,ShenYunxiang,DaiGuijun,GuoLingling,ZhuangChunxiang2024852024-06-24Objective: To explore the impact of a nurse-led chronic disease management model on the quality of care and satisfaction of maintenance hemodialysis patients. Methods: 72 patients who received maintenance hemodialysis (MHD) from June 2021 to March 2022 were selected to undergo the nurse-led chronic disease management model. The hemodialysis indexes, nutritional status, and the occurrence of adverse events were assessed after 24 weeks of the intervention, and patients’ satisfaction was investigated and analyzed. Results: Comparing pre-intervention and after 24 weeks of intervention, urea reduction rate and urea clearance were improved but not statistically different (P > 0.05), but β2-microglobulin was significantly reduced compared with pre-intervention (P < 0.05); after 24 weeks of intervention, the effect of decreasing blood calcium, parathyroid hormone, and potassium levels was not obvious (P > 0.05), and the level of blood phosphorus decreased significantly compared with pre-intervention (P < 0.01), albumin and hemoglobin levels were increased and better than before intervention (P < 0.05); after 24 weeks of intervention, the incidence of intradialytic hypotension and hypertension was lower than before intervention (P < 0.05), and the total incidence of complications was significantly lower than before intervention (P < 0.01); there was no significant difference in the Self-Depression Scale scores after 24 weeks of intervention (P > 0.05), and Self-Anxiety Scale scores were significantly lower and better than before intervention (P < 0.01). Patient satisfaction was greatly improved, with a statistically significant difference (P < 0.05). Conclusion: The chronic disease management intervention model led by specialized nurses is conducive to improving the psychological state and nutritional status of dialysis patients, enhancing the adequacy of dialysis for patients, reducing the incidence of related complications, and ultimately achieving the purpose of improving the quality of life of patients, which has significant clinical value.

Wang X, Hao X, Ma M, et al., 2024, Chronic Kidney Disease Duration and Suicide Risk Among Maintenance Hemodialysis Patients in China. Clin Kidney J, 17(3): sfae055.

Nizami AA, Mustafa W, Qadir M, et al., 2024, Risk Factors of Cardiovascular and Cerebrovascular Events in Patients With Uraemia Complicated With Hypertension During Maintenance Haemodialysis Treatment. Cureus, 16(2): e53411.

George S, Nalini M, Kumar S, et al., 2024, Physical and Psychosocial Burden Experienced by Women on Maintenance Hemodialysis. J Educ Health Promot, 12 (1): 456.

Lin C, Han C, Pan I, 2015, A Qualitative Approach of Psychosocial Adaptation Process in Patients Undergoing Long-Term Hemodialysis. Asian Nurs Res (Korean Soc Nurs Sci), 9(1): 35–41.

Wang L, Wang S, Bi Y, et al., 2020, Application of Chronic Disease Management Model in the Management of Chronic Heart Failure. Journal of Integrated Cardiovascular and Cerebrovascular Diseases of Chinese and Western Medicine, 18(19): 3314–3317.

Ding Y, Wu X, Xiao Y, et al., 2020, A Study on the Career Development of 53,316 Specialized Nurses in China. Chinese Journal of Nursing, 55(02): 182–186.

Sternby J, Daugirdas JT, 2015, Theoretical Basis for and Improvement of Daugirdas’ Second Generation Formula for Single-Pool Kt/V. Int J Artif Organs, 38(12): 632–637.

Hori M, Takahashi H, Kondo C, et al., 2024, Association Between Serum 25-Hydroxyvitamin D Levels and Sarcopenia in Patients Undergoing Chronic Haemodialysis. Am J Nephrol, 55(3): 399–405.

Cheung KL, LaMantia MA, 2019, Cognitive Impairment and Mortality in Patients Receiving Hemodialysis: Implications and Future Research Avenues. Am J Kidney Dis, (74): 435–437.

Shi W, Wang L, Li M, et al., 2022, Evaluation of the Effectiveness of Community-Based Management of Hypertensive Patients Based on Chronic Disease Management Pathway. Chinese Family Medicine, 20(11): 1893–1896.

Lu X, Zhang J, Deng X, et al., 2021, Establishment of “Nursing Assistance Via the Internet” Mode for the Elderly with Chronic Diseases Dominated by Specialist Nurses and Its Implementation. Journal of Practical Clinical Medicine, 25(09): 86–89 + 93.