Eleftheroudi Marianna A, Mitsopoulos Efstathios, Papadopoulou Dorothea, Bamichas Gerasimos, Kyrgialanis Apostolos, Papoulidou Fani, Thodis Elias, Samakouri Maria, Panagoutsos Stylianos, Passadakis Ploumis
Nephrology, Papageorgiou General Hospital, Thessaloniki, GRC.
Nephrology, Papanikolaou General Hospital, Thessaloniki, GRC.
Cureus. 2025 Apr 7;17(4):e81839. doi: 10.7759/cureus.81839. eCollection 2025 Apr.
Background and objectives Chronic kidney disease (CKD) and its management can adversely affect patients' quality of life and mental health. Many patients are often inadequately informed about their condition and the available treatment options. A considerable number of people with advanced kidney disease have insufficient knowledge about their condition and the available treatment options. This study aims to investigate the impact of an educational intervention on quality of life, psychological resilience, anxiety, and depression. This study specifically aims to evaluate the effectiveness of this intervention on variables such as quality of life, psychological resilience, anxiety, and depression. Methods A prospective randomized study was conducted on patients with CKD stage 4-5 to evaluate the effectiveness of an educational intervention in improving the aforementioned parameters. Furthermore, the correlation between these outcomes and the level of satisfaction with the intervention was analyzed. Participants were randomized (3:1) into two groups: an educational intervention group (33 patients) and a control group (12 patients). In the intervention group, we performed educational presentations accompanied by a relevant video. Participants completed the questionnaires both before and after the intervention. Participants in the control group were only asked to complete the questionnaires again after the same time period as the intervention group. Results Higher satisfaction with the intervention was significantly associated with a reduction in anxiety (r = -0.38, p = 0.03) and depression scores (r = -0.44, p = 0.01), along with a notable improvement in social functioning (r = 0.40, p = 0.02). Furthermore, a marginally significant positive correlation was observed between the satisfaction scale and psychological resilience (r = 0.32, p = 0.07). Conclusion The level of satisfaction with the intervention is a critical factor in determining its effectiveness. Tailoring the intervention to address the unique needs of each patient may significantly enhance its impact.
背景与目的 慢性肾脏病（CKD）及其管理会对患者的生活质量和心理健康产生不利影响。许多患者往往对自己的病情以及可用的治疗方案了解不足。相当一部分晚期肾病患者对自己的病情和可用治疗方案知之甚少。本研究旨在调查教育干预对生活质量、心理韧性、焦虑和抑郁的影响。本研究具体旨在评估该干预对生活质量、心理韧性、焦虑和抑郁等变量的有效性。方法 对4 - 5期CKD患者进行前瞻性随机研究，以评估教育干预在改善上述参数方面的有效性。此外，还分析了这些结果与对干预的满意度之间的相关性。参与者被随机（3:1）分为两组：教育干预组（33例患者）和对照组（12例患者）。在干预组中，我们进行了教育讲座并播放相关视频。参与者在干预前后均完成问卷。对照组的参与者仅被要求在与干预组相同的时间段后再次完成问卷。结果 对干预的更高满意度与焦虑评分降低（r = -0.38，p = 0.03）和抑郁评分降低（r = -0.44，p = 0.01）显著相关，同时社会功能有显著改善（r = 0.40，p = 0.02）。此外，满意度量表与心理韧性之间观察到微弱的显著正相关（r = 0.32，p = 0.07）。结论 对干预的满意度水平是决定其有效性的关键因素。根据每位患者的独特需求调整干预措施可能会显著增强其影响。
