Key result
Continuity of care significantly improved self-management ability and quality of life compared to routine nursing in patients undergoing maintenance hemodialysis.
Why the study?
The study was conducted to evaluate the effect of continuity of care on self-management ability and quality of life in patients undergoing maintenance hemodialysis.
Does a 12-month continuity of care program improve self-management ability and quality of life in patients undergoing maintenance hemodialysis?
RCT (n=100)
Open-label
Time sequence of admission
No
Does a 12-month continuity of care program improve self-management ability and quality of life in patients undergoing maintenance hemodialysis?
p-value: p=<0.001
A 12-month continuity of care program utilizing online education, telephone visits, and outpatient visits significantly improves self-management ability and quality of life in patients on maintenance hemodialysis.
Supports continuity of care programs in hemodialysis units; confirms RCT benefits for self-management and quality of life.
INTRODUCTION: The objective of this study was to evaluate the effect of continuity of care on self-management ability and quality of life (QOL) in patients undergoing maintenance hemodialysis (MHD). METHODS: One hundred patients were randomly assigned to the observation group and the control group. In the observation group, patients received a 12-month continuity of care. In the control group, patients were given with routine nursing. Evaluate the patients' self-management ability and QOL between two groups 1 week before discharge and 6 and 12 months outpatient MHD. RESULTS: Observation group had higher Hemodialysis Self-Management Instrument (HD-SMI) scores and Kidney Disease Quality of Life-Short Form (KDQOL-SF™) scores than control group at 6 and 12 months outpatient MHD. But patients in observation group had a much lower systolic blood pressure than those in control group at 12 months outpatient MHD. CONCLUSIONS: Our study suggested that continuity of care in the form of online education, telephone visit, and outpatient visit could improve self-management ability and QOL of patients undergoing MHD.
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Lai et al. (2022) conducted an RCT in End-stage renal disease undergoing maintenance hemodialysis (n=100). Continuity of care (online education, telephone visits, outpatient visits) vs. Routine nursing was evaluated on Self-management ability (HD-SMI score) at 6 and 12 months (p=<0.001). Continuity of care significantly improved self-management ability and quality of life compared to routine nursing in patients undergoing maintenance hemodialysis.
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