The application effect of the trans-theoretical model of behavior change in diabetic kidney disease patients treated with maintenance hemodialysis

Abstract

Abstract Objectives The application effect of the trans-theoretical model (TTM) of behavior change in diabetic kidney disease (DKD) patients treated with maintenance hemodialysis (MHD) was discussed. Methods According to the random number table method, 80 patients with DKD on MHD were divided into control group and observation group, 40 patients in each group. Results After the intervention for 6 months, the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores of patients in the observation group were all lower than those before the intervention and those in the control group (P < 0.05); the compliance of patients to fluid intake in the observation group was higher than that in the control group while the total incidence rate of associated acute complications of the former was lower than that of the latter (P < 0.05). The fasting blood glucose (FBG) and 2-h postprandial blood glucose (2hPBG) indexes of the observation group were lower than those of the control group (P < 0.05), and the laboratory test indexes of serum creatinine (SCr), blood urea nitrogen (BUN), glomerular filtration rate (GFR) were lower than those before the intervention and lower than those of the control group (P < 0.05). Conclusions The nursing combined with TTM of behavior change can effectively strengthen the compliance of DKD patients subjected to MHD to fluid intake, reduce patients’ negative moods (such as depression and anxiety), and lower the incidence rate of complications, and improve the life quality.