Abstract: Objective To evaluate the effect of care model for chronic diseases on nutritional status, anxiety and depression in patients with chronic kidney disease at stage 3 or 4. Methods A total of 71 stage 3 to 4 chronic kidney disease patients chosen with convenience sampling method accepted the evaluation of nutrition status ,anxiety and depression. Then the professional nurse offered chronic care model nursing for them. After 6 months, we gave the patients aftertest, and manipulated paired-sample T test to explore the effect of chronic care model on patients’nutritional status, anxiety and depression. Result The urea nitrogen(t=3.325, P=0.001), anxiety(t=2.026,P=0.047) and depression(t=3.571,P=0.001) of patients were significantly lower after the intervention, and their blood albumin (t=-2.035, P=0.046) and blood calcium (t=-2.328,P=0.023) were significantly improved. Conclusion Chronic care model can significantly improve CKD3-4 stage patients’nutritional status and their anxiety, depression.

Key words: Chronic kidney disease patient, Care model for chronic diseases, Nutritional status, Anxiety and depression