Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Nephrology (Carlton). 2023 Dec;28(12):655-662. doi: 10.1111/nep.14239. Epub 2023 Sep 12.
Coronavirus 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.
We 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.
There 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.
The 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.
冠状病毒病大流行对远程高效沟通和患者教育提出了很高的要求。由于台湾数字和社交媒体应用的增加，我们旨在应用 LINE 聊天机器人的人工智能来提高腹膜透析患者的自我护理能力。
我们从 2021 年 5 月 1 日至 2022 年 4 月 30 日开展了这个项目。我们设计了一个自动回复聊天机器人系统，并分为六个交互界面范围，包括腹膜透析技术操作视频、临床提醒、家庭护理、医院挂号服务、饮食指南和自动腹膜透析指导。我们通过李克特 1-5 分制问卷在 3 个月后调查患者对 LINE 聊天机器人的满意度，得分越高表示满意度越高。
有 440 名患者参加了 PD AI 聊天机器人研究并使用了聊天机器人，但满意度问卷的回复率仅为 297 名患者。我们发现 91.7%的参与者同意“对患者智能聊天机器人应用的总体满意度”。超过 4 分的占 86.6%。我们追踪了聊天机器人每个部分的每次点击，并探索了患者面临的潜在情况。使用前，Chatbot 在出口部位和隧道感染方面的感染率明显降低（p=0.049 和.024）。此外，使用人工智能技术后，腹膜炎发生率从 0.93 降至 0.8/100 患者月。腹膜透析人工智能聊天机器人与面对面教育具有相似的效果。
创新的聊天机器人允许远程和数字信息的传递，以提高患者的自我护理能力。腹膜透析患者对这些工具高度认可和满意。值得进一步探索人工智能聊天机器人在腹膜透析护理中的长期影响。
