Abstract: 【Abstract】Objective To explore the effect of patient support mode on anxiety and depression in patients with initial hemodialysis. Methods Convenient sampling method was used to select 92 patients with initial maintenance hemodialysis (MHD) in the period from November 2015 to November 2017 as the research objects. We then used the random number table to divide these patients into observation group (n=46) and control group (n=46). In control group, patients were treated with routine nursing for MHD patients; in observation group, patients were treated with patient support mode in addition to the routine nursing program. Their anxiety and depression were evaluated before the treatment and after the treatment for 3 months and compared between the two groups. Results After the intervention for 3 months, scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) significantly improved in the two groups, and were significantly lower in observation group than in control group (SAS: 37.1 ± 8.4 vs. 44.9 ± 7.5, t=4.747, P＜0.001; SDS: 40.4±7.7 vs. 49.0±6.7, t=5.731, P＜0.001). Conclusions The patient support model can effectively improve the anxiety and depression status and enhance the confidence to actively face dialysis in patients with initial hemodialysis. This model can be widely used clinically.

Key words: Patient support mode, Hemodialysis, Anxiety, Depression