Abstract

Objective: This study aimed to examine whether a multidimensional intensive nursing strategy could improve bone metabolism and quality of life in hemodialysis patients with renal osteodystrophy (ROD). Materials and methods: 90 ROD patients on maintenance hemodialysis were randomized into an intervention group (routine + multidimensional intensive nursing, n = 45) or a control group (routine nursing alone, n = 45). Primary outcomes were bone metabolism markers and WHOQOL-BREF scores; secondary outcomes included calcium-phosphorus levels, VAS, SAS, SDS, ESCA scores, and adverse events. Results: The intervention group showed lower β2-microglobulin and parathyroid hormone, higher WHOQOL-BREF scores, better calcium-phosphorus balance (higher calcium, lower phosphorus), lower VAS/SAS/SDS, and higher ESCA scores vs. controls (all p < 0.05). Adverse events and complications were also reduced (both p < 0.05). Conclusion: Multidimensional intensive nursing may improve bone metabolism, calcium-phosphorus balance, self-care, and quality of life, while reducing pain, anxiety, depression, and complications in hemodialysis patients with ROD.


Author Details

Authors

• Chunyan Hu¹
• Yuanyuan Liao²
• Tao Zhang³

Departments

• ¹ Department of Urology,
• ² Department of Nursing, and
• ³ Department of Neurosurgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China

Address

Tao Zhang, Department of Neurosurgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan, China
Email: [email protected]

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