Abstract: 【Abstract】Objective According to the working characteristics in hemodialysis centers, a model for evaluating nursing quality in hemodialysis centers was established. Nursing quality estimated by the patients was conducted, the influencing factors for nursing quality were analyzed, and the measures to improve nursing quality were then suggested. Methods A total of 540 patients treated in the hemodialysis centers in the three general hospitals in Guizhou province from May to August 2019 were recruited as the subjects for investigation. The self-designed nursing quality evaluation scale was used for the investigation. Multivariate linear regression was used to analyze the influencing factors. Results The perception difference score of nursing quality in the seven dimensions of tangibility, reliability, responsiveness, empathy, safety, transparency and effectiveness showed negative values (t=-21.742, -24.973, -34.006, -34.583, -15.415, -19.542 and -34.289 respectively; P<0.001). Multivariate linear regression found that monthly income >5000 yuan (β=0.644, P<0.001), 61~75 years old (β=0.508, P<0.001) and public medical service (β= -0.145, P=0.011) were the influencing factors for the overall perception difference score of nursing quality in the hemodialysis centers. Conclusion The overall perception of nursing quality in the hemodialysis centers by MHD patients was negative, and was
affected by many factors. Therefore, improvement of nursing quality in the hemodialysis centers must be consistent with the various needs from different kinds of MHD patients.

Key words: Servqual model, Hemodialysis, Service quality, Influencing factor