Case Control Study
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World J Diabetes. Feb 15, 2024; 15(2): 186-195
Published online Feb 15, 2024. doi: 10.4239/wjd.v15.i2.186
Experience of humanistic nursing in hemodialysis nursing for patients with diabetic kidney disease
Xiao-Ying Chai, Xiao-Yan Bao, Ying Dai, Xing-Xing Dai, Yu Zhang, Yu-Ling Yang
Xiao-Ying Chai, Xing-Xing Dai, Yu-Ling Yang, Department of Nephrology, The Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Xiao-Yan Bao, Department of Hemodialysis, The Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Ying Dai, Yu Zhang, Department of Endocrinology, The Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Author contributions: Chai XY performed experiments and wrote the manuscript; Bao XY designed the study and revised the manuscript; Dai Y was involved in analytical tools; Dai XX and Zhang Y collected the human material; Zhang Y served as scientific advisor; Yang YL is the guarantor.
Supported by 2021 Wuxi Nursing Association Nursing Scientific Research Project Fund, No. Q202106.
Institutional review board statement: The study was approved by the ethics committee of the Affiliated Hospital of Jiangnan University.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 839697611@qq.com.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Ling Yang, MAMS, Associate Chief Nurse, Department of Nephrology, The Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214000, Jiangsu Province, China. xyingchai@163.com
Received: June 1, 2023
Peer-review started: June 1, 2023
First decision: July 3, 2023
Revised: August 5, 2023
Accepted: December 27, 2023
Article in press: December 27, 2023
Published online: February 15, 2024
Processing time: 247 Days and 23.7 Hours
ARTICLE HIGHLIGHTS
Research background

Diabetic nephropathy is one of the common complications of diabetes, and as the disease progresses, patients may need to receive hemodialysis treatment. In the process of receiving hemodialysis, patients need long-term treatment, and the condition is changeable, so quality nursing services are needed to improve the treatment effect and the quality of life of patients. Humanistic nursing is a kind of patient-centered nursing concept, emphasizing respect for patients’ lives and personalities, paying attention to patients’ emotions and needs, and providing patients with comprehensive and personalized nursing services.

Research motivation

The traditional hemodialysis nursing model often only focuses on the physiological needs of patients, ignoring the psychological and social needs of patients, resulting in patients are prone to anxiety, depression and other adverse emotions in the treatment process, affecting the treatment effect. Therefore, the purpose of this study is to explore the application effect of anthropogenic nursing in hemodialysis nursing of diabetic nephropathy patients, to provide patients with more comprehensive and personalized nursing services.

Research objectives

The first is to discuss the application effect of humanistic nursing in hemodialysis nursing of diabetic nephropathy patients; the second is to evaluate the impact of humanistic nursing on patients’ quality of life, mental health and satisfaction.

Research methods

A total of 96 diabetic kidney disease patients receiving hemodialysis treatment from March 2020 to June 2022 were selected as the study objects. The control group was given routine nursing, while the research group was given humanized nursing on this basis, including the following aspects: Nurses and patients fully communicate and exchange, understand the patient’s condition, family background, psychological state, etc., to provide personalized nursing services for patients; psychological support: Nurses provide psychological counseling and support to patients to help them relieve bad emotions and enhance treatment confidence; health education: Nurses provide comprehensive health education to patients, including diet guidance, exercise guidance, medication guidance, etc., to improve patients’ self-management ability; social support: Nurses provide family and social support to help patients deal with difficulties and problems in life. The control group received routine care. At the end of the trial, all patients were assessed for quality of life, mental health and satisfaction.

Research results

By comparing data from the experimental and control groups, we found that patients in the experimental group were better than those in the control group in terms of quality of life, mental health and satisfaction. After receiving humanistic care, anxiety, depression and other bad emotions were effectively alleviated, the treatment effect was improved, and the quality of life was improved. At the same time, the satisfaction of the experimental group was also higher than that of the control group.

Research conclusions

Humanistic nursing has a remarkable effect on hemodialysis nursing of diabetic nephropathy patients. Through humanistic nursing, patients’ mental health and quality of life have been effectively improved, the treatment effect has been improved, and the satisfaction of patients has also been improved. Therefore, we suggest to promote and apply humanistic nursing concept in hemodialysis nursing of diabetic nephropathy patients.

Research perspectives

From the perspective of patient needs, understand the physiological, psychological and social needs of patients. From the perspective of nursing practice, this paper explores the application method and effect of humanistic nursing concept in hemodialysis nursing practice. From the perspective of nursing staff, this paper discusses the requirements of humanistic nursing on the quality and working style of nursing staff, and the experience and feeling of nursing staff in the process of implementing humanistic nursing.