Department of Nephrology, Wuxi People's Hospital, Wuxi, China.
Nursing Department of Wuxi People's Hospital, Wuxi, China.
Ann Palliat Med. 2021 Mar;10(3):3028-3038. doi: 10.21037/apm-21-219.
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.
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.
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).
Peer support can effectively improve the self-management ability and biochemical indicators in PD patients.
腹膜透析（PD）是治疗慢性肾脏病的理想方法。其生存率和生活质量取决于透析质量。透析质量取决于患者对药物和透析治疗的依从性、饮食选择、并发症的检测以及疾病的监测和管理。因此，PD 患者的自我管理尤为重要。本研究探讨了同伴支持在提高 PD 患者自我管理能力中的作用。
本研究纳入了中国一家三级医院的 105 例 PD 患者，分为对照组（35 例）、微信组（干预组 1；35 例）和面对面组（干预组 2；35 例）。在 6 个月的随访期间，对照组给予个体化教育，干预组给予同伴支持。
干预 6 个月后，干预组的自我管理能力明显优于对照组（P<0.01）。微信组与面对面组在血红蛋白和血磷方面存在显著差异（P<0.05）。干预 3 个月和 6 个月后，干预组与对照组在白蛋白、血红蛋白、血磷和血钙水平方面存在显著差异（P<0.01）。
同伴支持可有效提高 PD 患者的自我管理能力和生化指标。
