APMAdvances in Precision Medicine2424-85922424-9106WHIOCE PUBLISHING PTE. LTD.10.18063/APM.v11i2.1397ArticleTo Explore the Effect of Self-determination Theory Nursing Intervention in Hemodialysis Patients with Chronic Renal Failurehttps://artdesignp.com/journal/APM/11/2/10.18063/APM.v11i2.1397WuGe20261122026-02-26Objective: To explore the application value of the nursing intervention model based on self-determination theory in hemodialysis patients with chronic renal failure. Methods: 68 hemodialysis patients with chronic renal failure admitted to our hospital from January 2024 to December 2024 were selected and divided into two groups using the random number table method, with 34 cases in each group. The routine nursing group implemented traditional hemodialysis nursing measures, and the self-determination nursing group introduced self-determination theory to carry out targeted nursing care on the basis of routine nursing. Compare the psychological state, quality of life and occurrence of complications between the two groups after intervention. Results: The SAS score and SDS score of the self-determined nursing group were lower than those of the conventional nursing group, the total SF-36 quality of life score was higher than that of the conventional nursing group, and the incidence of complications was lower than that of the conventional nursing group. The differences were statistically significant (p < 0.05). Conclusion: Nursing intervention based on self-determination theory can effectively improve the psychological state of hemodialysis patients with chronic renal failure, improve the quality of life, reduce the risk of complications, and has clinical promotion value.Chronic renal failure, Hemodialysis, Self-determination theory, Nursing intervention, Quality of life, Psychological state

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