Implementation of artificial intelligence Chatbot in peritoneal dialysis nursing care: Experience from a Taiwan medical center

Abstract

PurposeCoronavirus disease pandemic makes high requirements in delivering remote and efficient communication, and patient education. Because of the increases of digital and social media applications in Taiwan, we aim to apply Artificial Intelligence of LINE Chatbot to improve the self‐care ability of patients undergoing peritoneal dialysis.Materials and MethodsWe conducted the project since 1 May 2021 to 30 April 2022. We designed an automatically replied Chatbot system, and divided into six scopes of interaction interfaces, including peritoneal dialysis technique operation video, clinical reminder, home caring, hospital registration service, dietary guideline, and Automatic Peritoneal dialysis guidance. We surveyed patients' satisfaction with the LINE Chatbot 3 months later by the Likert 1–5 score‐based questionnaire and the higher score indicated higher satisfaction.ResultsThere were 440 patients who joined the PD AI Chatbot study and use the Chatbot, but the satisfaction questionnaire recovery rate was only 297 patients. We found that 91.7% of participants agreed ‘Overall satisfaction with patient intelligent Chatbot application’. More than 4 points accounted for 86.6%. We traced every click in each section of the Chatbot and explored the potential scenario patients face. The Chatbot statistically significant reduced infection rate of exit site and tunnel infection before using (p = .049 and .024). Furthermore, peritonitis rate decreased from 0.93 to 0.8/100 patient month after using Artificial Intelligence technique. Peritoneal dialysis Artificial Intelligence Chatbot had similar effect with face‐to‐face education.ConclusionThe innovative Chatbot allowed delivering remote and digital information's to improve patients' self‐care ability. Peritoneal dialysis patients were highly recognized and satisfied with the tools. It deserves to further explore the long‐term impact of Artificial Intelligence Chatbot in peritoneal dialysis care.

Perspectives on Artificial Intelligence in Nursing in Asia

“…Adaptive learning allows students to assimilate knowledge at their own pace, optimizing their educational journey. Engaging and interactive modules instill genuine enthusiasm in learners, fostering an environment conducive to in-depth exploration and understanding [ 31 , 32 ]. Moreover, simulation tools enhanced by AI capabilities revolutionize hands-on nursing training, providing safe and controlled environments for students to practice and refine their skills.…”

The Importance of Natural and Acquired Immunity to SARS-CoV-2 Infection in Patients on Peritoneal Dialysis

“…Peritoneal dialysis (PD) is one of the three complementary methods of kidney replacement therapy (KRT) which treats almost 300,000 people with end-stage kidney disease (ESKD) worldwide, representing 11% of the total dialysis population [ 1 ]. It is significantly less prevalent than the widespread hemodialysis (HD), both in the world and in the Republic of Serbia [ 2 , 3 ]. The peritoneal membrane has various pores, and large pores with a radius of 250 Å, which play a role in the transcapillary transport of macromolecules, such as proteins and immunoglobulins (Ig), by the process of active transport, and represent only 0.01% of the total [ 4 ].…”