St Clair Russell Jennifer, Southerland Shiree, Huff Edwin D, Thomson Maria, Meyer Klemens B, Lynch Janet R
Medical Instructor, Duke University School of Medicine, Durham, NC.
Member of ANNA's Cardinal Chapter.
Nephrol Nurs J. 2017 Nov-Dec;44(6):481-496.
A patient-centered quality improvement program implemented in one Virginia hemodialysis facility sought to determine if peer-to-peer (P2P) programs can assist patients on in-center hemodialysis with self-management and improve outcomes. Using a single-arm, repeatedmeasurement, quasi-experimental design, 46 patients participated in a four-month P2P intervention. Outcomes include knowledge, self-management behaviors, and psychosocial health indicators: self-efficacy, perceived social support, hemodialysis social support, and healthrelated quality of life (HRQoL). Physiological health indicators included missed and shortened treatments, arteriovenous fistula placement, interdialytic weight gain, serum phosphorus, and hospitalizations. Mentees demonstrated increased knowledge, self-efficacy, perceived social support, hemodialysis social support, and HRQoL. Missed treatments decreased. Mentors experienced increases in knowledge, self-management, and social support. A P2P mentoring program for in-center hemodialysis can benefit both mentees and mentors.
弗吉尼亚州一家血液透析机构实施了一项以患者为中心的质量改进计划，旨在确定点对点（P2P）计划是否能够帮助接受中心血液透析的患者进行自我管理并改善治疗效果。采用单组、重复测量的准实验设计，46名患者参与了为期四个月的P2P干预。结果包括知识、自我管理行为以及心理社会健康指标：自我效能感、感知到的社会支持、血液透析社会支持以及健康相关生活质量（HRQoL）。生理健康指标包括错过和缩短的治疗、动静脉内瘘置入、透析间期体重增加、血清磷以及住院情况。学员的知识、自我效能感、感知到的社会支持、血液透析社会支持以及HRQoL均有所提高。错过的治疗减少。导师的知识、自我管理能力和社会支持也有所增加。针对中心血液透析的P2P指导计划对学员和导师都有益。
