Effect of Meticulous Nursing on Dialysis Adequacy in Elderly Patients Undergoing Maintenance Hemodialysis

This study investigated the impact of meticulous nursing on dialysis adequacy in 69 elderly patients undergoing maintenance hemodialysis at a single center between September 2022 and February 2023. Patients were randomized to a study group (meticulous nursing, n = 35) or a control group (conventional nursing, n = 34). Post-nursing comfort scores improved in both groups; however, the study group exhibited higher scores (90.87 ± 10.26 vs. 84.54 ± 5.84, p = 0.012). Both groups showed increased albumin and hemoglobin levels post-nursing (p < 0.05), with the study group additionally demonstrating greater reductions in blood potassium, blood sodium, and blood urea nitrogen than the control group (p < 0.05). Analysis of dialysis adequacy using Kt/V values revealed significant treatment effects (Ftreatment = 178.587, p < 0.001); although the study group's Kt/V increase from September to October was non-significant (t = 1.164, p = 0.249), significant gains occurred from November to December (Δ = 0.18, t = 3.854, p < 0.001) and January to February (Δ = 0.28, t = 4.811, p < 0.001). No differences were observed in nursing satisfaction (χ² = 0.111, p = 0.740) or complication rates (χ² = 1.176, p = 0.278) between groups. These findings indicate that meticulous nursing enhances patient comfort, improves biochemical markers, boosts treatment compliance and duration, and ultimately increases dialysis adequacy.