Effect of evidence-based nursing supervision on hemodialysis patients with chronic kidney failure

This study aims to evaluate the effects of an evidence-based supervision nursing model on self-management, quality of life, emotional well-being, and complication rates in patients with chronic renal failure (CRF) undergoing hemodialysis. A retrospective cohort analysis was conducted on 160 patients with CRF receiving hemodialysis between January 2022 and December 2023. After minimizing potential biases, patients were randomly assigned to either Group A (n = 80), who received evidence-based supervision nursing under a high-quality management model, or Group B (n = 80), who received traditional nursing care. Key outcomes, including self-management skills, quality of life (as measured by the Short Form Health Survey), emotional burden, and incidence of complications, were compared between the 2 groups. Patients in Group A demonstrated significantly improved self-management abilities, particularly in peer relationships, problem-solving, self-care practices, and emotional regulation, compared to Group B (P < .01). Group A also showed significantly higher scores on the Short Form Health Survey quality of life assessment (P < .01, P < .05). Furthermore, Group A reported lower perceived emotional burdens and exhibited reduced anxiety and depression scores (as measured by Self-Rating Anxiety Scale and Self-Rating Depression Scale) compared to Group B (P < .01). In addition, the incidence of complications, such as catheter thrombosis, vascular stenosis, and aneurysms, was significantly lower in Group A (P < .01, P < .05). Implementing an evidence-based supervision nursing model in patients with CRF undergoing hemodialysis significantly improves self-management capabilities, enhances quality of life, and reduces emotional burden and the risk of complications. This approach offers a superior alternative to traditional nursing care for these patients.