Jiangsu Key Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, China.
Department of Nephrology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Ther Apher Dial. 2024 Apr;28(2):297-304. doi: 10.1111/1744-9987.14077. Epub 2023 Oct 24.
The study aimed to explore feasibility and effect of hospital-community online management on the medication management of elderly peritoneal dialysis (PD) patients with end-stage renal disease (ESRD) during COVID-19.
A total of 160 patients receiving PD were randomly divided into the control (n = 80, outpatient follow-up management mode) and observation (n = 80, hospital-community online management mode) groups. The self-efficacy (General Self-Efficacy Scale [GSES]), medication adherence (8-item Morisky medication adherence scale [MMAS-8]), quality of life (kidney disease quality of life short form [KDQOL-SF]), and degree of depression (beck depression inventory [BDI]) before and after the intervention were compared.
After the intervention, the scores of GSES (4.20 ± 0.46 vs. 3.09 ± 0.33), MMAS-8 (5.82 ± 0.92 vs. 5.13 ± 1.25), and KDQOL-SF were significantly higher, whereas the BDI score (9.50 ± 2.86 vs. 12.08 ± 2.95) was significantly lower in the observation group than in the control group (p < 0.05).
Hospital-community online management presents good effects in the medication management of PD patients with ESRD.
本研究旨在探讨 COVID-19 期间针对老年终末期肾病（ESRD）腹膜透析（PD）患者的医院-社区在线管理模式对其药物管理的可行性和效果。
共纳入 160 名 PD 患者，随机分为对照组（n=80，门诊随访管理模式）和观察组（n=80，医院-社区在线管理模式）。比较两组患者干预前后的自我效能（一般自我效能感量表[GSES]）、用药依从性（8 项 Morisky 用药依从性量表[MMAS-8]）、生活质量（肾脏病生活质量简表[KDQOL-SF]）和抑郁程度（贝克抑郁自评量表[BDI]）。
干预后，观察组的 GSES 评分（4.20±0.46 分比 3.09±0.33 分）、MMAS-8 评分（5.82±0.92 分比 5.13±1.25 分）和 KDQOL-SF 评分均显著升高，而 BDI 评分（9.50±2.86 分比 12.08±2.95 分）显著降低（p<0.05）。
医院-社区在线管理模式在 ESRD 腹膜透析患者的药物管理中效果良好。
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