Effect of peer support on improving self-management ability in peritoneal dialysis patients—a randomized controlled trial

Abstract

Background: Peritoneal dialysis (PD) is an ideal method for the treatment of chronic kidney disease.Its survival rate and quality of life depend on the quality of dialysis. The quality of dialysis depends on the compliance of patients with drugs and dialysis treatment, the choice of diet, the detection of complications and the monitoring and management of the disease. Therefore, the self-management of PD patients is particularly important. This study explored the role of peer support in improving the self-management ability of PD patients.Methods: A total of 105 PD patients in a Chinese tertiary hospital were enrolled and divided into a control group (35 cases), a WeChat group (intervention group 1; 35 cases), and a face-to-face group (intervention group 2; 35 cases). During the 6-month follow-up, the control group were given individualized education, and the intervention group was given peer support.Results: After the 6-month intervention, the self-management ability of the intervention group was significantly different from that of the control group (P<0.01). There were significant differences between the WeChat group and the face-to-face group with respect to hemoglobin and blood phosphorus (P<0.05).There were significant differences in prealbumin, hemoglobin, blood phosphorus and calcium levels between the intervention and control groups after 3 months and 6 months of intervention (P<0.01).Conclusions: Peer support can effectively improve the self-management ability and biochemical indicators in PD patients.

Factors Associated with Self-Management of Peritoneal Dialysis Patients in Urumqi of Xinjiang of China: A Cross-Sectional Survey

“…The study has confirmed that peer support can effectively improve the self-management ability of PD patients. 23 It is fascinating to note that A couple of young people in the WeChat group have met - fallen in love - and are married, encouraging and supporting each other in the face of life and illness. WeChat can be an effective tool for the management of chronic diseases.…”

“…Meanwhile, in China, the studies on the self-management ability of PD patients primarily focused on the developed areas of eastern China. 22 , 23 However, the self-management of PD patients in Xinjiang Northwest China is rarely reported. Xinjiang covers about one-sixth of China’s total land area.…”

The Effects of Peer Education on Treatment Adherence among Patients Receiving Hemodialysis: A Randomized Controlled Trial

“…A multi-dimensional program including novel, scalable strategies that can provide needed social support to improve patients’ self-efficacy and self-management is critically needed. [ 6 ]…”

Effects of a mobile application on improving self‐management of adult patients receiving peritoneal dialysis: A randomized controlled trial

“…Li et al, 2014), mobile applications to enhance quality of life (K. Singh et al, 2019a;T. Singh et al, 2019b), and peer support (Chen et al, 2021). To date, there has been a lack of evidence that focuses on improving self-management for patients receiving PD.…”

“…Until now, previous studies on self‐management in patients receiving PD have examined home visits focusing on reduced rates of peritonitis and hospital admission (Martino et al, 2014), exercise intervention with a focus on reduced blood glucose (Shahgholian et al, 2015), posttreatment phone counseling for enhancing quality of life (J. Li et al, 2014), mobile applications to enhance quality of life (K. Singh et al, 2019a; T. Singh et al, 2019b), and peer support (Chen et al, 2021). To date, there has been a lack of evidence that focuses on improving self‐management for patients receiving PD.…”