Case Control Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Abstract
BACKGROUND

Diabetic kidney disease (DKD) is a prevalent complication of diabetes that often requires hemodialysis for treatment. In the field of nursing, there is a growing recognition of the importance of humanistic care, which focuses on the holistic needs of patients, including their emotional, psychological, and social well-being. However, the application of humanistic nursing in the context of hemodialysis for DKD patients remains relatively unexplored.

AIM

To explore the experience of humanistic nursing in hemodialysis nursing for DKD patients.

METHODS

Ninety-six DKD patients treated with hemodialysis from March 2020 to June 2022 were included in the study and divided into the control cluster (48 cases) and the study cluster (48 cases) according to different nursing methods; the control cluster was given routine nursing and the study cluster was given humanized nursing. The variances of negative emotion mark, blood glucose, renal function, the incidence of complications, life mark and nursing satisfaction before and after nur-sing were contrasted between the two clusters.

RESULTS

No significant difference in negative emotion markers between the two clusters were observed before nursing (P > 0.05), and the negative emotion markers of the two clusters decreased after nursing. The Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale markers were lower in the study cluster than the control cluster. The healing rate of patients in the study cluster was significantly higher than the control cluster (97.92% vs 85.42%, P < 0.05). Blood glucose parameters were not significantly different between the groups prior to nursing (P > 0.05). However, after nursing, blood urea nitrogen and serum creatinine (SCr) levels in the study cluster were lower than those in the control cluster (P < 0.05). The incidence rate of complications was significantly lower in the study group compared to the control cluster (6.25% vs 20.83%, P < 0.05). There was no significant difference in the life markers between the two clusters before nursing. While the life markers increased after nursing for both groups, the 36-item health scale markers in the study cluster were higher than those within the control cluster (P < 0.05). Finally, the nursing satisfaction rate was 93.75% in the study cluster, compared to 75% in the control cluster (P < 0.05).

CONCLUSION

In hemodialysis for DKD patients, the implementation of humanistic nursing achieved ideal results, effectively reducing patients’ psychological negative emotion markers so that they can actively cooperate with the diagnosis and nursing, facilitate the control of blood glucose and the maintenance of residual renal function, reduce the occurrence of complications, and finally enhance the life quality and nursing satisfaction of patients. It is worthy of being widely popularized and applied.

Keywords: Diabetic kidney disease, Hemodialysis, Humanistic nursing, Incidence of complication, Effect

Core Tip: The study aimed to explore the experience of humanistic nursing in hemodialysis for patients with diabetic kidney disease (DKD). The results showed that humanistic nursing effectively reduced patients’ negative emotions, improved healing, controlled blood glucose levels, and maintained renal function. It also reduced the incidence of complications and enhanced patients’ life quality and nursing satisfaction. These findings highlight the importance of humanistic nursing in improving the care and well-being of DKD patients undergoing hemodialysis. The implementation of humanistic nursing should be widely promoted and applied in clinical practice.