{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:46:55Z","timestamp":1786999615183,"version":"build-2736575974"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"unspecified","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951524001822_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Chronic kidney disease (CKD) is a global health challenge that affects patients\u2019 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001822_sec2b\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001822_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Post-intervention, CKD patients showed significant improvements across multiple measures. Pain decreased from 6.2 to 4.8 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002, 23% improvement), and fatigue decreased from 7.5 to 6.1 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 19% reduction). Depression improved from 5.6 to 4.2 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 25% reduction) and anxiety decreased from 4.9 to 3.8 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004, 22% reduction). Physical functioning increased from 65.3 to 72.1 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002, 10% improvement), cognitive function from 72.8 to 78.5 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003, 8% increase), and emotional well-being from 60.2 to 65.7 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004, 9% improvement). Ambulation improved from 75.2 to 81.5 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 8% increase), activity from 68.7 to 74.3 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004, 8% increase), and self-care from 82.4 to 88.1 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003, 7% improvement). Nutritional status improved from 79.6 to 85.2 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002, 7% increase) and level of consciousness from 70.3 to 75.8 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005, 8% increase). Fatigue scores decreased significantly from 53.2 to 48.6 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 9% decrease), activities of daily living from 50.1 to 45.8 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 9% decrease), and well-being from 55.6 to 50.2 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001, 10% improvement).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001822_sec4d\">\n                    <jats:title>Significance of the results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951524001822","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T03:58:15Z","timestamp":1737431895000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating palliative care\u2019s role in symptom management for CKD patients in Egypt: A quasi-experimental approach"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8192-0017","authenticated-orcid":false,"given":"Ateya Megahed","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishraga A.","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwa A.","family":"Shahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takwa Rashwan Mohamed","family":"Abd-El Hady","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsayeda Hamdy Nasr","family":"Abdelhalim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donia Elsaid Fathi","family":"Zaghamir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4436-0899","authenticated-orcid":false,"given":"Doaa Bahig","family":"Anwr Akl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila Zeidan","family":"Ghazy Mohammed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0465-4066","authenticated-orcid":false,"given":"Fatma Abdelhalim","family":"Moustafa Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"S1478951524001822_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02087-5"},{"key":"S1478951524001822_ref19","unstructured":"Hays, RD , Kallich, JD and Mapes, DL , et al. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e33"}}