Effect of the LEARNS Model on Self-Care Agency and Compliance in Hemodialysis Patients with Fluid Overload

Abstract

Objective: To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance. Methods: A total of 76 patients with fluid overload undergoing maintenance hemodialysis at our hospital from March 2023 to March 2024 were selected for the study. Patients were randomly divided into two groups, with 38 in each group. The control group received conventional interventions, while the observation group was treated using the LEARNS model. Self-care agency, compliance, and quality of life outcomes in both groups were analyzed and compared. Results: Before the intervention, no statistically significant differences were observed in the self-care agency scores between the two groups (P > 0.05). After the intervention, patients’ self-care agency improved significantly, with the observation group showing notably higher scores than the control group (P < 0.05). Patient compliance in the observation group was also significantly higher than in the control group (P < 0.05). Quality of life, assessed using the SF-36 scale, showed no significant differences between the two groups prior to intervention (P > 0.05). After the intervention, quality of life scores improved significantly in both groups, with the observation group exhibiting significantly higher scores than the control group (P < 0.05). Conclusion: The LEARNS model is effective in improving patient compliance, enhancing self-care agency, and improving quality of life in maintenance hemodialysis patients with fluid overload, making it a promising approach for broader application.