Qing-Lai Zhang

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.

Background To analyze and discuss the effect of clinical refined nursing intervention on maintenance hemodialysis patients during the outbreak of COVID-19.Methods The Symptom Checklist90 (SCL‑90) was used to conduct nursing interventions before, during and after dialysis for maintenance hemodialysis patients, and the results were compared with the Chinese adult SCL‑90 norm.Results The scores of all factors of SCL-90 in maintenance hemodialysis patients are all higher than normal Chinese SCL-90, and patients with a single factor score greater than or equal to 2 have a higher proportion 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. Two nucleic acid test results of 172 patients were negative.Conclusion During the COVID-19 epidemic, providing maintenance hemodialysis patients with refined nursing intervention can improve their health behavior compliance, regulate negative emotions, reduce related complications, improve their quality of life, and improve the nurse-patient relationship. At the same time, it can fundamentally control the occurrence of nursing errors and adverse events, with outstanding clinical application value.