Objective: To observe the status quo of patients’ psychological distress, and to explore the effect of Internet+ health education model (IHEM) on patients who experienced psychological distress during their first hemodialysis treatment, with the goal of reducing their psychological distress and improving their quality of life. Methods: IHEM was conducted on 120 first-time hemodialysis patients for 3 months while a distress thermometer and a list of questionnaires were used to screen patients and provide corresponding psychological intervention. The incidence rate of psychological distress was analyzed statistically to explore the difference in psychological distress at various periods. Results: The incidence rate (score ≥ 4) of psychological distress in first-time hemodialysis patients was 46.67%, and their distress was mainly rooted in physical, emotional, practical problems (economy, time, and energy), etc. Through IHEM, the psychological distress scores of the patients decreased to 3.29 ± 1.02 at one month after their discharge, and the incidence rate was 32.14%; the psychological distress scores of the patients were 2.29 ± 1.02 at 3 months after their discharge, and the incidence rate was 21.14%. The difference before and after the intervention was statistically significant (P < 0.05). Conclusion: A psychological distress thermometer can timely detect the degree and causes of psychological distress among first-time hemodialysis patients, and the use of IHEM may significantly alleviate the psychological distress among hemodialysis patients.
Akizuki N, Akechi T, Nakanishi T, et al., 2003, Development of a Brief Screening Interview for Adjustment Disorders and Major Depression in Patients with Cancer. Cancer, 97: 2605.
Tezel A, Karabulutlu E, Sahin O, 2011, Depression and Perceived Social Support from Family in Turkish Patients with Chronic Renal Failure Treated by Hemodialysis. J Res Med Sci, 16(5): 666–673.
Tang X, Zhang J, 2015, Effect of Continuous Nursing Intervention on Self-Management Ability and Compliance of Maintenance Hemodialysis Patients. HWASEO medical, 30(8): 1511–1513.
Sun J, Cao C, Wang L, 2012, Depression and its Association with Self-Efficacy and Social Support in Hemodialysis Patients. Journal of Nursing Management, 12(5): 313–314.
Donovan KA?Jacobsen PB, 2013, Progress in the Implementation of NCCN Guidelines for Distress Management by Member Institutions. J Natl Compr Canc Netw, 2013, 11: 223–226.
Jacobsen PB, Ransom S, 2007, Implementation of NCCN Distress Management Guidelines by Member Institutions. J Natl Compr Canc Netw, 5: 99–103.
Jacobsen PB, Shibata D, Siegel EM, et al., 2011, Evaluating the Quality of Psychosocial Care in Outpatient Medical Oncology Settings Using Performance Indicators. Psychooncology, 20: 1221–1227.
San Giorgi MR, Aaltonen LM, Rihkanen H, et al., 2017, Validation of the Distress Thermometer and Problem List in Patients with Recurrent Respiratory Papillomatosis. Otolaryngol Head Neck Surg, 156(1): 180–188.
Foley RN, Chen SC, Solid CA, et al., 2014, Early Mortality in Patients Starting Dialysis Appears to go Unregistered. Kidney Int, 86(2): 392–398.
Ge S, Fang M, 2021, Application of Psychomotor Thermometer in Cancer Patients Undergoing Radiotherapy. Journal of Anhui Institute of Health Technology, 20(3): 148–149.