Evaluating palliative care’s role in symptom management for CKD patients in Egypt: A quasi-experimental approach
Notice bibliographique
Résumé
Abstract Objectives Chronic kidney disease (CKD) is a global health challenge that affects patients’ symptom burden and quality of life. Palliative care interventions show promise in addressing the multiple needs of CKD patients, focusing on symptom management, psychosocial support, and advance care planning. This study aimed to evaluate the effectiveness of palliative care interventions in improving symptom management in patients with CKD. Methods The study used a quasi-experimental research design with a sample size of 128 participants diagnosed with CKD. Participants were selected based on strict criteria to ensure consistency of palliative care interventions. Non-probability purposive sampling was used to select participants. Data were collected using validated instruments such as the Edmonton Symptom Assessment System, Kidney Disease Quality of Life-Short Form, Palliative Performance Scale, Dialysis Symptom Index and Functional Assessment of Chronic Illness Therapy-Fatigue. These instruments provided robust measures of symptom severity, quality of life, performance status, symptom burden, and fatigue. The intervention consisted of 4 sessions designed to address symptom management, psychosocial support, and advance care planning strategies. Results Post-intervention, CKD patients showed significant improvements across multiple measures. Pain decreased from 6.2 to 4.8 ( p = 0.002, 23% improvement), and fatigue decreased from 7.5 to 6.1 ( p = 0.001, 19% reduction). Depression improved from 5.6 to 4.2 ( p = 0.001, 25% reduction) and anxiety decreased from 4.9 to 3.8 ( p = 0.004, 22% reduction). Physical functioning increased from 65.3 to 72.1 ( p = 0.002, 10% improvement), cognitive function from 72.8 to 78.5 ( p = 0.003, 8% increase), and emotional well-being from 60.2 to 65.7 ( p = 0.004, 9% improvement). Ambulation improved from 75.2 to 81.5 ( p = 0.001, 8% increase), activity from 68.7 to 74.3 ( p = 0.004, 8% increase), and self-care from 82.4 to 88.1 ( p = 0.003, 7% improvement). Nutritional status improved from 79.6 to 85.2 ( p = 0.002, 7% increase) and level of consciousness from 70.3 to 75.8 ( p = 0.005, 8% increase). Fatigue scores decreased significantly from 53.2 to 48.6 ( p = 0.001, 9% decrease), activities of daily living from 50.1 to 45.8 ( p = 0.001, 9% decrease), and well-being from 55.6 to 50.2 ( p = 0.001, 10% improvement). Significance of the results The results highlight the potential of palliative care interventions to improve outcomes and well-being for people with CKD. By addressing their complex needs, these interventions offer valuable lessons for nephrology and palliative care practice, emphasizing holistic approaches to patient care. The findings add to the evidence supporting the integration of palliative care into CKD management, highlighting its value in improving patient outcomes and quality of life.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».