Meta-analysis of the effectiveness of nursing interventions in the care of adult patients with kidney failure
- 1Department of Nephrology, Zigong First People’s Hospital, Zigong, Sichuan 643000 China
- 2Department of Nursing, Shanghai Baoshan District Wusong Central Hospital (Zhongshan Hospital Wusong Branch, Fudan University), Shanghai, 200940 China
Abstract
Background: Numerous nursing interventions have the potential to improve clinical outcomes in individuals with kidney failure; however, their effectiveness can vary. Therefore, it is essential to systematically review and synthesize the evidence regarding these interventions. This research sought to evaluate the effectiveness of various nursing interventions in enhancing clinical outcomes in adult patients with kidney failure.
Methods: An extensive literature review was performed across five databases utilizing two distinct keyword sets up to May 2026. The study design was structured according to the Population, Intervention, Comparator, and Outcome (PICO) framework. Studies that did not meet the established inclusion criteria were excluded from the analysis.
Results: This review encompassed a total of 142 studies. The findings indicate that a variety of nursing interventions can significantly improve health outcomes for patients with kidney failure. Notably, high-quality nursing care and comprehensive nursing programs demonstrated the greatest efficacy. Additionally, interventions such as shared-care models, educational nursing approaches, music therapy, telephone-based support, and self-care strategies—despite their relatively low cost—also contributed to patient improvement. The meta-analysis revealed that nursing interventions significantly increased patient satisfaction compared to control groups [2.71 (95% Confidence Interval: 1.72–3.70)] and reduced complication rates compared to control groups [-7.39 (95% Confidence Interval: -11.48 to − 3.31)].
Conclusion: The findings of this review highlight that various nursing interventions can positively influence outcomes in adult patients. Future research should focus on developing a comprehensive model and rigorously evaluating its effectiveness.
Clinical trial number: Not applicable.
Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12882-026-05239-8.
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BibTeX
@article{guo2026metaanalysis,
title = {{Meta-analysis of the effectiveness of nursing interventions in the care of adult patients with kidney failure}},
author = {Min Guo and Xiaomei Han and Xiaomin Xu},
journal = {BMC Nephrology},
year = {2026},
month = jul,
doi = {10.1186/s12882-026-05239-8},
url = {https://doi.org/10.1186/s12882-026-05239-8},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Meta-analysis of the effectiveness of nursing interventions in the care of adult patients with kidney failure
AU - Min Guo
AU - Xiaomei Han
AU - Xiaomin Xu
PY - 2026
DA - 2026/07/29
JO - BMC Nephrology
DO - 10.1186/s12882-026-05239-8
UR - https://doi.org/10.1186/s12882-026-05239-8
AB - Background: Numerous nursing interventions have the potential to improve clinical outcomes in individuals with kidney failure; however, their effectiveness can vary. Therefore, it is essential to systematically review and synthesize the evidence regarding these interventions. This research sought to evaluate the effectiveness of various nursing interventions in enhancing clinical outcomes in adult patients with kidney failure. Methods: An extensive literature review was performed across five databases utilizing two distinct keyword sets up to May 2026. The study design was structured according to the Population, Intervention, Comparator, and Outcome (PICO) framework. Studies that did not meet the established inclusion criteria were excluded from the analysis. Results: This review encompassed a total of 142 studies. The findings indicate that a variety of nursing interventions can significantly improve health outcomes for patients with kidney failure. Notably, high-quality nursing care and comprehensive nursing programs demonstrated the greatest efficacy. Additionally, interventions such as shared-care models, educational nursing approaches, music therapy, telephone-based support, and self-care strategies—despite their relatively low cost—also contributed to patient improvement. The meta-analysis revealed that nursing interventions significantly increased patient satisfaction compared to control groups [2.71 (95% Confidence Interval: 1.72–3.70)] and reduced complication rates compared to control groups [-7.39 (95% Confidence Interval: -11.48 to − 3.31)]. Conclusion: The findings of this review highlight that various nursing interventions can positively influence outcomes in adult patients. Future research should focus on developing a comprehensive model and rigorously evaluating its effectiveness. Clinical trial number: Not applicable. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12882-026-05239-8.
SN - 1471-2369
ER -