This study aims to evaluate the effect of tele-nursing practices on quality of life and clinical outcomes in predialysis patients with chronic kidney disease. The study will be conducted with patients diagnosed with stage 3A, 3B, or 4 chronic kidney disease who are followed in a nephrology outpatient clinic.
Participants will be assigned to intervention and control groups. Patients in the intervention group will receive a structured tele-nursing program including patient education, telephone or online follow-up, reminders, and counseling for disease management. Patients in the control group will continue to receive routine outpatient care.
Quality of life, medication adherence, self-care management, blood pressure, body weight, edema status, and laboratory parameters such as eGFR, creatinine, blood urea nitrogen, potassium, phosphorus, calcium, albumin, hemoglobin, and bicarbonate will be evaluated at baseline, 3 months, and 6 months. The study is expected to show whether tele-nursing support can improve quality of life, self-care behaviors, treatment adherence, and clinical outcomes in predialysis patients.