Authors
Arezoo Shahsavari, Sima Hejazi, Fatemeh Estebsari
Published in
BMC nephrology. Jun 22, 2026. Epub Jun 22, 2026.
Abstract
Patients undergoing hemodialysis require continuous care and monitoring to manage their chronic condition effectively. Telephone-based follow-up interventions have increasingly been used to support continuity of care. This study investigated the association of nurse-led telephone follow-up with biochemical indicators and quality of life (QOL) in hemodialysis patients.
This quasi-experimental single-group pretest-posttest study included 31 hemodialysis patients referred to the dialysis ward of Imam Jafar Sadeq Hospital. Participants were recruited using convenience sampling between 2022 and 2024. All eligible patients meeting the inclusion criteria during the study period were included. The 8-week intervention consisted of structured nurse-led telephone follow-up and text message support. QOL was assessed using the WHOQOL-BREF questionnaire before and two months after the intervention. Interdialytic weight gain and biochemical parameters were measured before, during, and after the intervention. Data were analyzed using repeated-measures ANOVA and paired t-tests.
Tele-nursing follow-up was associated with changes in interdialytic weight gain, QOL scores, and most biochemical parameters (P < 0.001). Changes in BUN and sodium levels were observed only between baseline and post-intervention measurements.
Nurse-led telephone follow-up may serve as a complementary supportive strategy for continuity of care in patients undergoing hemodialysis. The findings indicate potential improvements in QOL, biochemical parameters, and weight control; however, the results should be interpreted with caution, given the quasi-experimental single-group design and relatively small sample size. Further controlled studies are recommended.
Not applicable.
PMID:
42324511
Bibliographic data and abstract were imported from PubMed on 22 Jun 2026.
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