Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2014 May;34(3):278-88.
doi: 10.3747/pdi.2012.00268. Epub 2014 Jan 2.

Effects of post-discharge nurse-led telephone supportive care for patients with chronic kidney disease undergoing peritoneal dialysis in China: a randomized controlled trial

Juan Li  1 , Huizhen Wang  1 , Hongzhen Xie  1 , Guiping Mei  1 , Wenzhi Cai  1 , Junsheng Ye  1 , Jianlin Zhang  1 , Guirong Ye  1 , Huimin Zhai  1
Affiliations
Randomized Controlled Trial

Effects of post-discharge nurse-led telephone supportive care for patients with chronic kidney disease undergoing peritoneal dialysis in China: a randomized controlled trial

Juan Li et al. Perit Dial Int. 2014 May.

Abstract

Background: Patients with end-stage renal failure (ESRF) need integrated health care to maintain a desirable quality of life. Studies suggest that post-discharge nurseled telephone support has a positive effect for patients suffering from chronic diseases. But the post-discharge care is under-developed in mainland China and the effects of post-discharge care on patients with peritoneal dialysis have not been conclusive.

Aim: The purpose of this study is to test the effectiveness of postdischarge nurse-led telephone support on patients with peritoneal dialysis in mainland China.

Methods: A randomized controlled trial was conducted in the medical department of a regional hospital in Guangzhou. 135 patients were recruited, 69 in the study group and 66 in the control group. The control group received routine hospital discharge care. The study group received post-discharge nurse-led telephone support. The quality of life (Kidney Disease Quality of Life Short Form, KDQOL-SF), blood chemistry, complication control, readmission and clinic visit rates were observed at three time intervals: baseline before discharge (T1), 6 (T2) and 12 (T3) weeks after discharge.

Results: Statistically significant effects were found for symptom/problem, work status, staff encouragement, patient satisfaction and energy/fatigue in KDQOL-SF and 84-day (12-week) clinic visit rates between the two groups. The study group had more significant improvement than the control group for sleep, staff encouragement at both T2 and T3, and pain at T2 and patient satisfaction at T3. No significant differences were observed between the two groups for the baseline measures, other dimensions in KDQOL-SF, blood chemistry, complication control, readmission rates at all time intervals and clinic visit rates at the first two time intervals.

Conclusions: Post-discharge nurse-led telephone support for patients undergoing peritoneal dialysis is effective to enhance patients' well-being in the transition from hospital to home in mainland China.

Keywords: China; Peritoneal dialysis; discharge; nursing; telephone support.

PubMed Disclaimer

Figures

Figure 1 —
Figure 1 —
The Consort flowchart for the study.
See this image and copyright information in PMC

References

    1. Sharif A, Baboolal K. Update on dialysis economics in the UK. Perit Dial Int 2011; 31(Suppl 2):S58–62 - PubMed
    1. Li PK, Chow KM, Szeto CC. Is there a survival advantage in Asian peritoneal dialysis patients? Int J Artif Organs 2003; 26(5):363–72 - PubMed
    1. Sinnakirouchenan R, Holley JL. Peritoneal dialysis versus hemodialysis: risks, benefits, and access issues. Adv Chronic Kidney Dis 2011; 18(6):428–32 - PubMed
    1. Brown EA. Can quality of life be improved for the increasing numbers of older patients with end-stage kidney disease? Expert Rev Pharmacoecon Outcomes Res 2010; 10(6):661–6 - PubMed
    1. Dimkovic N, Aggarwal V, Khan S, Chu M, Bargman J, Oreopoulos DG. Assisted peritoneal dialysis: what is it and who does it involve? Adv Perit Dial 2009; 25:165–70 - PubMed

Publication types

MeSH terms