Abstract:Background: Peritoneal dialysis (PD) uses the peritoneum as the dialysis membrane. PD is a simple operation for self-treatment at home, and has become the preferred option for most patients with chronic renal failure (CRF). This study aimed to explore the effect of a closed-loop health management (CLHM) system based on an Internet platform in patients with PD.Methods: A total of 102 patients with PD who were admitted to Xuzhou Central Hospital from May 2019 to May 2020 were selected and randomly divided into t… Show more
“…A total of 60 records were excluded for the following reasons: 19 protocols, 14 non-peer-reviewed studies, seven not nurse-related studies, five not PD populations, five not related outcomes, three cohort studies, two not nurse-related interventions, one cross-sectional study, one duplicate, one not English, one quasi-experimental study, and one review article. Eleven studies ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Hare et al., 2014 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Chen et al., 2008 , Li et al., 2021 ) were included in the systematic review, and only eight ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 ) were included in the meta-analysis. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Causes of ESKD, including chronic glomerular disease, hypertension, diabetes mellitus, systemic lupus erythematosus, was shown in six studies ( Chang et al., 2018 , Chow and Wong, 2010 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Chen et al., 2008 ) and were different in detail across the studies. Nine studies ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Hare et al., 2014 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Li et al., 2021 ) demonstrated educational levels of participants using numerous scales depending on the conducting country of the study. Six studies ( Chow and Wong, 2010 , Hare et al., 2014 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 ) reported marital status.…”
Section: Resultsmentioning
confidence: 99%
“… Chow 2010 ( Chow and Wong, 2010 ) Comprehensive education planning protocol and nurse-initiated telephone weekly follow-up for 6 weeks: comprehensive education planning was comprised of the individualized education program and conducted by the nurse care manager. Routine discharge services Li 2021 ( Li et al., 2021 ) CLHM system based on an internet platform: the health management system was accessible by the patient or his family members via a mobile phone for in-hospital and out-of-hospital management. The health management plans were considered and produced by the team members and organized relevant knowledge training for intervention personnel regularly.…”
Section: Resultsmentioning
confidence: 99%
“…For the risk of bias assessment of the eleven included studies, nine studies ( Chow and Wong, 2010 , Hare et al., 2014 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Li et al., 2021 , Chen et al., 2016 ) had high risk of bias. Two studies had ( Chang et al., 2018 , Xu et al., 2020 ) unclear risk of bias.…”
Section: Resultsmentioning
confidence: 99%
“…Peritonitis mentioned in two studies could not be included for quantitative analysis ( Chang et al., 2018 , Li et al., 2021 ). Chang et al., 2018 reported frequent retraining of PD at home by PD nurses revealed a statistically significant effect on the risk reduction of the first episode of peritonitis.…”
“…A total of 60 records were excluded for the following reasons: 19 protocols, 14 non-peer-reviewed studies, seven not nurse-related studies, five not PD populations, five not related outcomes, three cohort studies, two not nurse-related interventions, one cross-sectional study, one duplicate, one not English, one quasi-experimental study, and one review article. Eleven studies ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Hare et al., 2014 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Chen et al., 2008 , Li et al., 2021 ) were included in the systematic review, and only eight ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 ) were included in the meta-analysis. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Causes of ESKD, including chronic glomerular disease, hypertension, diabetes mellitus, systemic lupus erythematosus, was shown in six studies ( Chang et al., 2018 , Chow and Wong, 2010 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Chen et al., 2008 ) and were different in detail across the studies. Nine studies ( Chang et al., 2018 , Xu et al., 2020 , Chow and Wong, 2010 , Hare et al., 2014 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Li et al., 2021 ) demonstrated educational levels of participants using numerous scales depending on the conducting country of the study. Six studies ( Chow and Wong, 2010 , Hare et al., 2014 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 ) reported marital status.…”
Section: Resultsmentioning
confidence: 99%
“… Chow 2010 ( Chow and Wong, 2010 ) Comprehensive education planning protocol and nurse-initiated telephone weekly follow-up for 6 weeks: comprehensive education planning was comprised of the individualized education program and conducted by the nurse care manager. Routine discharge services Li 2021 ( Li et al., 2021 ) CLHM system based on an internet platform: the health management system was accessible by the patient or his family members via a mobile phone for in-hospital and out-of-hospital management. The health management plans were considered and produced by the team members and organized relevant knowledge training for intervention personnel regularly.…”
Section: Resultsmentioning
confidence: 99%
“…For the risk of bias assessment of the eleven included studies, nine studies ( Chow and Wong, 2010 , Hare et al., 2014 , Ljungman et al., 2020 , Luo et al., 2019 , Luo et al., 2020 , Wong et al., 2010 , Pungchompoo et al., 2020 , Li et al., 2021 , Chen et al., 2016 ) had high risk of bias. Two studies had ( Chang et al., 2018 , Xu et al., 2020 ) unclear risk of bias.…”
Section: Resultsmentioning
confidence: 99%
“…Peritonitis mentioned in two studies could not be included for quantitative analysis ( Chang et al., 2018 , Li et al., 2021 ). Chang et al., 2018 reported frequent retraining of PD at home by PD nurses revealed a statistically significant effect on the risk reduction of the first episode of peritonitis.…”
Background
Kinesiophobia, an irrational fear-avoidance behaviour, can significantly impact the quality of life and prognosis of peritoneal dialysis patients. This study aimed to assess the prevalence of kinesiophobia in patients undergoing peritoneal dialysis and to analyse its influencing factors.
Methods
A total of 291 patients who visited the outpatient and ward of peritoneal dialysis in 7 tertiary hospitals in Jiangsu Province from December 2023 to March 2024 were selected as research subjects via the convenience sampling method. A cross-sectional survey was conducted using a general data questionnaire, the Tampa Kinesiophobia-11 Scale, the Chinese Version of the Multidimensional Fatigue Symptom Scale, and the Simplified Coping Style Questionnaire.
Results
The score obtained using the Tampa Scale for kinesiophobia in patients with peritoneal dialysis was 22.44 ± 7.46, with a prevalence rate of 69.1%. Binary logistic regression analysis revealed that no complications, daily exercise before illness, and positive coping styles were protective factors (
p
< 0.05), whereas fatigue and negative coping styles were risk factors for kinesiophobia in patients receiving peritoneal dialysis (
p
< 0.05).
Conclusions
The prevalence of kinesiophobia in patients receiving peritoneal dialysis was high but at a mild level. Medical staff should combine influencing factors to identify high-risk groups as early as possible, formulate targeted interventions to reduce the occurrence of kinesiophobia and mitigate adverse effects on peritoneal dialysis patients.
Aims/Background Chronic renal failure (CRF) is the eventual outcome shared by various progressive renal diseases, posing a serious threat to the physical health of patients. CRF patients are required to undergo hemodialysis (HD), which imposes heavy psychological and mental burdens for most individuals. This study explores the effects of Internet Plus-based continuous nursing on the compliance of CRF patients with HD. Methods This study retrospectively analyzed the clinical data of 160 CRF patients undergoing HD in the Yantai Yuhuangding Hospital from March 2021 to April 2023, after excluding eight cases from an originally selected cohort of 168 cases. These patients were divided into two groups: 79 cases who received the routine nursing from March 2021 to March 2022 were categorized as the routine group, whereas 81 cases who were given Internet Plus-based continuous nursing from April 2022 to April 2023 were assigned into the observation group. The treatment adherence, self-management behaviors, quality of life and incidence of HD complications were compared in both groups. Results Both groups demonstrated no significant difference in the baseline information (p > 0.05). The scores of adherence in terms of HD attendance, medications, fluid restrictions and diet recommendations in the observation group were significantly higher than those in the routine group (p < 0.001). No significant difference in the Hemodialysis Self-Management Instrument (HDSMI) scores on the day of discharge between the two groups was found (p > 0.05). After 6 months of follow-up, the observation group showed significantly higher scores of partnership, problem solving, self-management execution and emotional processing than the routine group (p < 0.001). Both groups had no significant difference in the scores of Kidney Disease-Targeted Areas (KDTA) and 36-Item Short Form (SF-36) on the day of discharge (p > 0.05). After 6 months of follow-up, the scores of KDTA and SF-36 in the observation group were significantly higher than those in the routine group (p < 0.001). The incidence of HD complications in the observation group (7.41%) was significantly lower than that in the routine group (21.52%) (p < 0.05). Conclusion Internet Plus-based continuous nursing can effectively improve treatment adherence, self-management behaviors as well as quality of life in patients, and reduce the incidence of HD complications.
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