Renal Department and Institute of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Sichuan Clinic Research Center for Kidney Diseases, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Department of Sanitary Technology, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Ren Fail. 2022 Dec;44(1):490-502. doi: 10.1080/0886022X.2022.2049305.
Virtual home visits may improve chronic disease management. However, whether they are suitable for peritoneal dialysis (PD) patients has not yet been fully investigated. This study aimed to compare the agreement and acceptance of virtual home visits and in-person home visits in PD patients.
This was a paired, single center, noninferiority trial. Participants received a virtual home visit and an in-person home visit simultaneously. A home visit checklist was built for standardization visits. The content was divided into three parts: domestic habits (57 items), bag exchange procedures (56 items), and exit site care (53 items). Satisfaction questionnaires for both patients and nurses were designed to assess attitudes toward home visits and socioeconomic effects.
A total of 30 PD patients were enrolled in a single center. The information collected from virtual home visits and in-person home visits was found to be highly consistent. The perfect agreement was found in 52/57, 49/56, and 44/53 items (Cohen's kappa 0.81-1.00), substantial agreement in 4/57, 7/56, and 8/53 items (Cohen's kappa 0.61-0.80). Patients reported almost identical satisfaction for virtual home visits and in-person home visits ( = 0.39, = 0.70). PD nurses reported similar feasibility and patient cooperation for the two visit types ( = 0.99, = 0.33; = 1.65, = 0.10, respectively). In addition, virtual home visits were found to be more cost-effective than in-person home visits.
Virtual home visits information collection was similar to in-person home visits in PD. There were no differences in participant satisfaction and feasibility between the two visit types.
虚拟家访可能有助于改善慢性病管理。然而，它们是否适用于腹膜透析（PD）患者尚未得到充分研究。本研究旨在比较 PD 患者虚拟家访和面对面家访的一致性和接受度。
这是一项配对的、单中心的、非劣效性试验。参与者同时接受虚拟家访和面对面家访。为了标准化访问，构建了家访清单。内容分为三部分：家庭习惯（57 项）、换袋程序（56 项）和出口护理（53 项）。设计了患者和护士对家访的满意度问卷，以评估对家访的态度和社会经济影响。
在一个中心共纳入 30 名 PD 患者。从虚拟家访和面对面家访中收集的信息高度一致。在 52/57、49/56 和 44/53 项（Cohen's kappa 0.81-1.00）中发现完全一致，在 4/57、7/56 和 8/53 项（Cohen's kappa 0.61-0.80）中发现高度一致。患者对虚拟家访和面对面家访的满意度几乎相同（ = 0.39， = 0.70）。PD 护士报告两种家访类型的可行性和患者合作情况相似（ = 0.99， = 0.33； = 1.65， = 0.10）。此外，虚拟家访比面对面家访更具成本效益。
PD 患者的虚拟家访信息收集与面对面家访相似。两种家访类型在参与者满意度和可行性方面没有差异。
