The effect of refined nursing intervention on patients undergoing maintenance hemodialysis in the hemodialysis center during the COVID-19 epidemic

Abstract

Background The outbreak of novel coronavirus pneumonia has exerted considerable psychological pressure on patients undergoing hemodialysis, resulting in unhealthy psychological emotions. Therefore, it is of great significance to carry out strict management and refined nursing intervention for patients undergoing maintenance hemodialysis during the prevention and control of novel coronavirus. This study aims to analyze and discuss the effect of clinical refined nursing intervention on patients undergoing maintenance hemodialysis during the coronavirus disease 2019 (COVID-19) epidemic. Methods This was a prospective cohort study. In this study, we used the Symptom Checklist-90 (SCL-90) or the Chinese adult SCL-90 norm to conduct nursing interventions for patients undergoing maintenance hemodialysis to investigate the effect of clinical refined nursing intervention on patients undergoing maintenance hemodialysis during the COVID-19 epidemic. Results The scores for all the factors of SCL-90 of patients undergoing maintenance hemodialysis were higher than those of the Chinese SCL-90, and patients with a single factor score ≥ 2 had a higher level of depression and anxiety, with extremely significant difference (p < 0.01). The depression and anxiety of the patients were reduced after the intervention, and there was a statistical difference. Among the 172 patients, the results of both nucleic acid tests were negative. Conclusion During the COVID-19 epidemic, providing patients undergoing maintenance hemodialysis with refined nursing intervention can regulate negative emotions, reduce related complications, improve their quality of life, and improve the nurse–patient relationship.

Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room

“…Nursing staff are required to have high professional skills to provide professional and high-quality services for hemodialysis patients. Figure 1 shows the classification of blood loss during dialysis [ 2 ]. Therefore, it is very necessary to implement nursing safety management in hemodialysis room.…”

The prevalence and severity of mental health problems and sexual dysfunction in hemodialysis patients before and during the COVID‐19 pandemic

“…Accordingly, implementation of immediate interventions to monitor and reduce the significant adverse psycho-emotional impact of the pandemic on hemodialysis patients, such as provision of timely and appropriately tailored mental health support, resilience training programs, mindfulness, and team-building exercises, are essential to reduce perceived stress and to prevent the exhausted mental status and to improve psycho-sexual well-being of these patients [3,50]. Notably, providing high quality hemodialysis with refined nursing intervention that creates a favorable environment for holistic care in renal dialysis units has been suggested to regulate negative emotions and related complications such as fatigue, anxiety, depression, and sleep quality and to improve their quality of life [3,11].…”

“…Both IIEF-5 (median [min-max] 10.5 vs. 7.5 [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23], p < 0.001) and FSFI (12 [4-78] vs. 6 [4-66], p < 0.001) scores significantly decreased during the pandemic (Table 2) along with increase in the likelihood of having erectile dysfunction (from 66.7% to 92.2% overall, from 49.0% to 60.7% for serious erectile dysfunction, p < 0.001) but no significant difference in prevalence of female sexual dysfunction (68.8% for both periods) (Figure 1). Median (min-max) BDI scores significantly increased during pandemic compared to pre-pandemic period (from 11 [0-42] to 17 , p < 0.001) (Table 2), along with significantly higher likelihood of having depression (63.1% vs. 75.0% overall, 19.0% vs. 33.3% for moderate-to-severe depression, p < 0.001) after the pandemic (Figure 1).…”

“…However, while studies have shown increased anxiety, depression, and stress levels among different populations during the COVID-19 pandemic, the impact of the pandemic on the mental health of dialysis patients remains under-recognized [3,[9][10][11][12] along with no studies to date addressing the sexual health of chronic hemodialysis patients during the COVID-19 pandemic.…”

Mental health and psychosocial interventions to limit the adverse psychological effects of disasters and emergencies in China: a scoping review

“…78 Most of the pre-post studies assessed the efficacy of psychological counselling, mental health education, or psychological nursing interventions that are not well-structured or guided. 24,25,29,51,61,88 Single-group, pre-post designs were also used to assess comprehensive, multi-component interventions; for example, an intervention for 155 medical personnel conducted during the COVID-19 pandemic that included daily mood broadcasts, online themed group chats, and social support-focused group discussions. 65 The 4 case studies assessed the efficacy of emotional support plus progressive muscle relaxation therapy, 27 interpersonal psychotherapy, 36 dialectical behaviour therapy, 82 and virtual reality exposure therapy.…”