Effects of holistic interventions by the vascular access management group on sleep quality and quality of life in patients with vascular calcification after maintenance hemodialysis
XU Xuemei
LU Xiaojuan
LIU Xiaodong
Abstract：Objective To investigate the effects of holistic intervention by the vascular access management group on sleep quality and quality of life of patients with vascular calcification after maintenance hemodialysis(MHD).Methods A total of 100 patients with post-MHD vascular calcification admitted to our hospital from January 2022 to December 2023 were taken as the subjects of this study,and they were randomly divided into the control group(50 cases,conventional intervention)and the study group(50 cases,conventional intervention combined with holistic intervention by the vascular access-based management group)by the method of randomized numerical table.Dialysis efficacy,complication rate,psychological status,sleep quality,and quality of life were compared.Results The human blood protein index of the study group was significantly higher than that of the control group(P＜0.05),while the Malnutrition-Inflammation Score(MIS)score and complication rate were significantly lower than those of the control group(P＜0.05).The Self-Rating Anxiety Scale(SAS)and Self-Depression Anxiety Scale(SDS)scores of the study group were significantly lower than those of the control group(P＜0.05).The Pittsburgh Sleep Quality Index(PSQI)of the study group was significantly lower than that of the control group(P＜0.05),and the 36-Item Short Form Survey(SF-36)score of the study group was significantly higher than that of the control group(P＜0.05).Conclusion The holistic intervention by the vascular access management group has outstanding effects on chemotherapy outcome,which can reduce the occurrence of complications,calm negative emotions and promote sleep and quality of life in post-MHD patients with vascular calcification.It shows a high clinical application value.
Keywords：vascular access management teamholistic interventionpost-MHD vascular calcificationsleep qualityquality of lifeimpact
Publication Date：2025-03-26
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 444-447 )