Abstract: 【Abstract】Objective To study clinical effect of the adaptive nursing based on the theory of 1.2 sources on hemodialysis patients. Methods A total of 80 hemodialysis patients treated in the period from Jan. 2016 to Jan. 2017 were recruited. They were randomly divided into experimental group and control group with 40 cases in each group. The control group was treated with routine nursing, and the experimental group was treated with adaptive nursing based on the theory of 1.2 sources. Nursing compliance and satisfaction, self- care ability, quality of life, and incidence of adverse reactions were compared between the two groups. Results T he nursing compliance (72.5% vs. 92.5%, χ2=5.541, P=0.019) and satisfaction (62.5% vs. 95%, χ2=12.624, P<
0.001) were better in the experimental group than those in the control group. In the experimental group after active nursing care with the adaptive nursing based on the theory of 1.2 sources, many aspects including selfcare efficacy (115.71±4.06 vs. 129.34± 5.00, t=1.503, P<0.001), health knowledge [(21.47±3.06) vs. (25.19±3.42), t=1.242, P<0.001], self- care skills [(31.62 ± 2.50) vs. (34.09 ± 2.86), t=1.303, P<0.001],self- concept [(20.59±2.57) vs. (23.61±2.95), t=1.309, P<0.001], self-care responsibility [(19.37±2.14) vs. (25.07±3.06), t=2.043, P<0.001], physiological function [(68.20 ± 7.21) vs. (85.26 ± 9.37), t=1.688, P<0.001], and mental health [(51.96 ± 8.50) vs. (63.18 ± 9.74), t=1.313, P<0.001] improved significantly as compared with those in the control group. Moreover, the incidences of hypotension (15.00% vs. 2.50%, χ2=3.913, P=0.048) and catheter infection (15.70% vs. 2.50%, χ2=5.000, P=0.025) were lower in the experimental group than that in the control group. Conclusion Adaptive nursing based on the theory of 1.2 sources is an effective nursing method for hemodialysis patients. This nursing modality can significantly improve the quality of care, nursing satisfaction and the quality of life, and effectively reduce the incidence of adverse reactions such as hypotension and catheter infection.

Key words: 1.2 sources, Adaptive nursing, Hemodialysis