Abstract: 【Abstract】Objective To explore the impact of emotional management on the quality of life and dialysis effectiveness in hemodialysis patients. Method A total of 112 patients with uremia were randomly divided into emotional management group (58 cases) and control group (54 cases). The former was treated with emotional management in addition to maintenance hemodialysis, while the latter was treated with maintenance hemodialysis only. After one month, the changes of SF-36 scale in SF36 (questionnaire SF36), serum creatinine (Scr), blood urea nitrogen (BUN), β2-microglobulin (β2-MG) and urea clearance index (Kt/V) were compared between the two groups. Results After the treatment, physical fitness (t=2.892, P=0.042; t=2.652, P=0.048), energy (t=3.832, P=0.032; t=3.536, P=0.035), total health (t=3.685, P=0.034; t=3.362, P=0.036) and total score (t=3.754, P=0.033; t=3.625, P=0.034) were significantly higher than before treatment in both groups. Psychological health increased only in emotional management group (t=3.568, P=0.035). The scores of psychological health (t=3.0368, P=0.03) and energy (t=2.658, P=0.048) were significantly higher in emotional management group than in control group. β2-MG decreased more in emotional management group than in control group (t=2.228, P=0.024). Conclusion Emotional management can improve the quality of life in hemodialysis patients, especially in terms of mental health and energy. It also has the potential value to improve dialysis efficiency. Therefore, emotional management can be used in clinical practice.

Key words: hemodialysis, emotional management, quality of life, dialysis effectiveness