Abstract: 【Abstract】Objective The purpose of this article was to analyze the effect of nutritional assessment and integrated dietary guidance during dialysis nursing on hemodialysis patients. Methods A total of 131 hemodialysis patients treated in the Department of Nephrology, Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine during the period from November 20, 2017 to November 15, 2019 were enrolled in this study. They were randomly divided into control group (n=67), in which patients were treated with conventional nursing method, and study group (n=64), in which patients were treated with nutrition assessment and integrated dietary guidance in addition to the conventional nursing method. After the intervention for 3 months, malnutrition-inflammation score (MIS score), health status questionnaire (SF-36) score and dietary instruction satisfaction were compared between the two groups. Results After the intervention for 3 months, MIS and SF-36 scores were better in study group than in control group (t=27.729, P＜0.001). The overall scores of body, consciousness, and quality of life were higher in study group than in control group (t=18.198, 27.861 and 16.603 respectively; P＜0.001). The satisfaction degree was also higher in study group than in control group (t=8.092, P=0.004). Conclusion The nutrition assessment and special disease dietary guidance during dialysis nursing can improve nutritional status and quality of life in hemodialysis patients.

Key words: Hemodialysis, Nutrition evaluation, Integrated dietary guidance for specific disease, Clinical effect