The Impact of Evidence-Based Nursing Combined With Cognitive Behavioral Therapy on Disease Management and Quality of Life in Chronic Renal Failure Patients Undergoing Hemodialysis

作者：Li Y, Yan Y · 发表于：British journal of hospital medicine (London, England : 2005) · 年份：2026 · DOI：10.31083/bjhm49922 · 研究领域：Quality of Life、Renal Dialysis、Kidney Failure, Chronic、Cognitive Behavioral Therapy、Evidence-Based Nursing、Humans、Female、Male、Retrospective Studies、Middle Aged、Aged

AIMS/BACKGROUND: Psychological distress is highly prevalent among patients undergoing maintenance hemodialysis and may adversely affect treatment adherence and overall quality of life. Evidence-based nursing (EBN) practices and cognitive behavioral theory (CBT)-based approaches have each shown potential value in dialysis care. However, evidence regarding their integration into routine nursing practice in real-world clinical settings remains limited. This study aims to examine the impact of exposure to a structured nursing care pathway incorporating EBN and CBT-informed supportive nursing on psychological, quality-of-life, and selected clinical stability outcomes in patients receiving maintenance hemodialysis. METHODS: This single-center retrospective cohort study included 236 adult patients with chronic renal failure undergoing maintenance hemodialysis between March 2023 and February 2024. Patients were classified according to the nursing care pathway received during routine clinical practice: standard care or a structured nursing care pathway integrating EBN and CBT-informed supportive communication. Propensity score matching (1:1) was applied to balance baseline demographic, clinical, laboratory, and psychological characteristics. Outcomes assessed over a 12-week observation period included nutritional markers (hemoglobin and serum albumin), the Kt/V, psychological status (Self-Rating Anxiety Scale and Self-Rating Depression Scale), quality of life (Generic Quality of Life...