Fashafsheh Nawras, Chui Ping Lei, Danaee Mahmoud, Ayed Ahmad, Lai Lee Lee
Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Hemodial Int. 2025 Jan;29(1):83-92. doi: 10.1111/hdi.13182. Epub 2024 Oct 13.
Hemodialysis is frequently used as a primary treatment for individuals with end-stage kidney disease (ESKD), and it significantly impacts the quality of life in adolescents undergoing this procedure. Providing a hemodialysis education to these patients is a valuable strategy for enhancing their well-being. The aim of the study is to assess the effect of the video-assisted educational program on the quality of life among adolescents undergoing hemodialysis in Palestine.
This study employed a quasi-experimental design, a pre-test-post-test interventional study, involving a sample of 68 adolescent patients between the ages of 13 and 18 diagnosed with ESKD. The quality of life level was assessed in both groups using an Arabic version of the Pediatric Quality of Life Inventory™ version 3.0 ESKD Module survey. The study was conducted at the dialysis units in four hospitals associated with Augusta Victoria Hospital, An-Najah University Hospital, Palestine Medical Complex/Ramallah, and Beit Jala (Al Housain) Hospital. The study involved providing tailored face-to-face educational sessions with video assistance to the experimental group, while the control group received regular face-to-face education.
The Generalized Estimating Equation analysis revealed no significant differences in quality of life between the experimental and control groups over time, across pre-test, post-test, and follow-up periods (p ≥ 0.05). However, within the experimental group, there was a significant improvement in total quality of life scores between the pre-test, post-test, and post-test follow-up (p ≤ 0.001), although the difference between the pre-test and follow-up approached significance but was not statistically significant (p = 0.056). In contrast, the control group showed significant differences in quality of life across the pre-test, post-test, and follow-up time points (p ≤ 0.05).
Implementing suitable interventions can potentially enhance the quality of life for individuals undergoing hemodialysis. Consequently, we suggest using video-based education as a cost-effective, uncomplicated, and engaging approach for educating hemodialysis patients.
血液透析常被用作终末期肾病（ESKD）患者的主要治疗方法，它对接受该治疗的青少年的生活质量有重大影响。为这些患者提供血液透析教育是提高他们幸福感的一项重要策略。本研究的目的是评估视频辅助教育项目对巴勒斯坦接受血液透析的青少年生活质量的影响。
本研究采用准实验设计，即前测-后测干预研究，样本为68名年龄在13至18岁之间被诊断为ESKD的青少年患者。两组均使用《儿童生活质量量表™》第3.0版ESKD模块调查的阿拉伯语版本评估生活质量水平。该研究在与奥古斯塔·维多利亚医院、纳贾赫大学医院、巴勒斯坦医疗中心/拉马拉以及拜特贾拉（侯赛因）医院相关的四家医院的透析科室进行。研究包括为实验组提供有视频辅助的量身定制的面对面教育课程，而对照组接受常规的面对面教育。
广义估计方程分析显示，在整个前测、后测和随访期间，实验组和对照组的生活质量随时间没有显著差异（p≥0.05）。然而，在实验组中，前测、后测和后测随访之间的总体生活质量得分有显著改善（p≤0.001），尽管前测和随访之间的差异接近显著但无统计学意义（p = 0.056）。相比之下，对照组在前测、后测和随访时间点的生活质量有显著差异（p≤0.05）。
实施合适的干预措施可能会提高接受血液透析患者的生活质量。因此，我们建议将基于视频的教育作为一种经济高效、简单且引人入胜的方法来教育血液透析患者。
