The impact of personalized health education interventions on treatment adherence and quality of life in maintenance hemodialysis patients: A retrospective cohort study based on nursing practice

Maintenance hemodialysis patients often face multiple challenges during long-term treatment, including poor treatment adherence, decreased quality of life, prominent psychological problems, and a high incidence of complications. Conventional health education is typically standardized and non-targeted, which fails to meet the individualized needs of patients. This study aims to explore the effects of personalized health education interventions on multidimensional health outcomes in hemodialysis patients. A total of 286 maintenance hemodialysis patients were enrolled and divided into an intervention group (n = 144) and a control group (n = 142) based on whether they received personalized health education. The intervention lasted for 3 months. Pre- and postintervention assessments included treatment adherence, quality of life, psychological status, complication incidence, and nursing satisfaction. Standardized instruments such as the kidney disease quality of life short form and Hospital Anxiety and Depression Scale were used for evaluation. Statistical analyses included t tests and chi-square tests. After the intervention, the intervention group showed significantly higher total treatment adherence scores compared to the control group (82.4 ± 6.5 vs 71.8 ± 7.1, P < .001). Overall and dimension-specific quality of life scores were significantly better in the intervention group (P < .01). Anxiety and depression scores decreased significantly (P < .01). The complication rate in the intervention group was significantly lower than that in the control group (13.5% vs 29.7%, P = .015). Nursing satisfaction reached 94.6% in the intervention group, significantly higher than the control group's 79.7% (P = .009), and 92% of patients in the intervention group expressed willingness to continue receiving such personalized guidance. Personalized health education interventions significantly improve treatment adherence, psychological well-being, and quality of life in maintenance hemodialysis patients, while reducing the risk of complications and enhancing nursing satisfaction. These findings support the clinical feasibility and broader applicability of this intervention model. Importantly, the study highlights the innovation of integrating individualized education with routine nursing practice, which provides nurses with a structured and patient-centered strategy to strengthen self-management, optimize risk prevention, and improve long-term care quality. This approach may serve as a valuable reference for advancing nursing practice and promoting evidence-based interventions in dialysis care.