Abstract: 【Abstract】Objective To study the effect of diversified education mode on treatment compliance and psychological status of patients undergoing maintenance hemodialysis (MHD) using long- term indwelling polyester double-lumen catheter. Methods A total of 100 MHD patients using long-term indwelling polyester double-lumen catheter in the People's Hospital of Dongguan City from July 2016 to July 2018 were enrolled in this study. They were divided into two groups according to the random number table extraction method. Each group contained 50 cases. The observation group adopted diversified education mode, while the control group adopted routine health education. The nursing effect was compared between the two groups. Results The total scores of S-AI and T-AI after intervention were lower than those before intervention in the two groups (observation group: t= 7.858 and 8.790 respectively; P＜0.001; control group: t=3.974 and 5.116 respectively; P=0.003 and 0.001 respectively), and the lowering of S-AI and T-AI scores after intervention were more in the observation group than in the control group (t= 4.389 and 3.550 respectively; P=0.002 and 0.001 respectively). The knowledge of hemodialysis after intervention became better than that before intervention in the two groups (observation group: t=25.525, P＜0.001; control group: t=17.559, P＜0.001), and
the improvement degree after intervention was more significant in the observation group than in the control group (t=9.501, P＜0.001). After intervention, catheter infections during catheterization (χ2=4.396, P=0.041), bacterial positive rate (χ2=4.433, P=0.038), thrombosis in catheters (χ²=5.741,P=0.017), treatment compliance (χ²=11.111, P＜0.001) and nursing satisfaction (χ²=21.951, P＜0.001) were statistically different between the two groups. Conclusion Diversified education mode was effective to reduce the incidence of complications during long- term indwelling polyester double-lumen catheterization, improve their self- care consciousness, increase the treatment compliance, and avoid the adverse psychology in MHD patients.

Key words: Diversified education, Polyester double-lumen catheter, Maintenance hemodialysis, Compliance, Unhealthy psychology