Observational studyInternational urology and nephrology2025
Effect of structured pre-dialysis education on the clinical outcomes of kidney patients.
Observational study in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe aim of this study is to evaluate the effect of pre-dialysis education on clinical, laboratory, quality of life, and self-care ability of patients on dialysis treatment.
methodsThis observational study recruited 202 patients (108 patients who received systematic pre-dialysis education; education group- and 94 patients who started dialysis without education; noneducation group). We evaluated and compared quality of life, self-care ability, psychological/depressive status, and biochemical parameters between groups.
resultsThe education group had a significantly higher self-care score (98.3 ± 8.5) (82.4 ± 21.5, p < 0.001), lower depressive symptoms (2.8%, 0.9%, and 0.9%, respectively) compared with the non-education group (31.9%, 20.2%, and 2.8%, respectively, p < 0.001). Quality of life scale results were significantly higher in the education group (p < 0.001 for each). Phosphate, parathormone, BUN, and residual renal function level were significantly lower (p < 0.01), and haemoglobin was significantly higher (p < 0.01) compared to those in the non-education group.
conclusionOur study shows that systematic education practices in the pre-dialysis period were associated with improved quality of life, increased self-care ability, increased psychosocial well-being, and positive effects on clinical outcomes in dialysis patients.
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