The impact of narrative nursing interventions on negative emotions, self-efficacy, quality of life in individuals undergoing maintenance hemodialysis

The objective of this study is to create a narrative nursing protocol using the "two-line system" approach to enhance the practice of narrative nursing.Investigators applied this protocol during maintenance hemodialysis (MHD) treatment, with the aim of examining the impact of the interventions on negative emotions, self-efficacy, and overall quality of life of patients. By analyzing the data before and after the interventions, investigators aim to demonstrate how targeted narrative nursing measures can positively influence negative emotions, self-efficacy, and life quality of patients.

Inclusion criteria:

• Patients diagnosed with ESRD and treated with dialysis for more than 3 months;
• Patients aged ≥18 years old;
• Patients with complete clinical data;
• Patients who are clearly conscious and can accurately express their willingness;
• Patients who have signed informed consent and are willing to cooperate with the study.

Exclusion criteria:

• Patients with other serious systemic diseases, such as severe cardiovascular and cerebrovascular diseases, severe diabetes, etc.;
• Patients with mental disorder, such as cognitive or intellectual disability;
• Patients with a history of anxiety and depression;
• Patients with intermittent loss of consciousness or are unable to understand the questions in the questionnaire.

Patients undergoing MHD at the Department of Nephrology in our hospital.