Evaluation of narrative nursing combined with motivational care in improving emotional status and reducing anxiety among chronic renal failure patients receiving hemodialysis

This study aimed to explore the effects of integrating narrative nursing with motivational interviewing on treatment adherence and anxiety among patients with chronic renal failure (CRF) undergoing hemodialysis. From April 2023 to April 2024, according to different treatment methods, a total of 76 patients receiving maintenance hemodialysis for CRF were divided into either a control group, which received routine nursing care, or an observation group that received a combination of narrative and motivational nursing in addition to standard care. The psychological and behavioral outcomes were evaluated using the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Medical Coping Modes Questionnaire, and General Quality of Life Inventory-74 (GQOLI-74). At baseline, no significant differences were observed in HAMA and HAMD scores between the 3 groups. Following the nursing intervention, both groups exhibited significant declines in anxiety and depression scores, with the observation group showing more pronounced improvements. Furthermore, patients in the observation group demonstrated more positive coping patterns, higher quality of life scores, and greater satisfaction with nursing care. Pearson correlation and receiver operating characteristic analyses confirmed that the combined intervention effectively improved emotional regulation and compliance, showing high sensitivity and specificity. The integration of narrative and motivational nursing markedly mitigates negative emotional states, enhances self-management and engagement, and improves overall nursing satisfaction among CRF patients on hemodialysis. These findings highlight its clinical value and support wider application in comprehensive renal care.