Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis
Abstract Background The Japanese population is aging quickly. New methods of supporting peritoneal dialysis (PD) for elderly patients are essential if we are to increase the number of such patients. Methods We established a two-way communication system between a central hospital and stations for vis...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Renal Replacement Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41100-021-00359-3 |
| _version_ | 1818672119486087168 |
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| author | Kohsuke Terada Yorito Yanagida Tomohiro Yan Toshiki Funakoshi Akio Hirama Tetsuya Kashiwagi Yukinao Sakai |
| author_facet | Kohsuke Terada Yorito Yanagida Tomohiro Yan Toshiki Funakoshi Akio Hirama Tetsuya Kashiwagi Yukinao Sakai |
| author_sort | Kohsuke Terada |
| collection | DOAJ |
| description | Abstract Background The Japanese population is aging quickly. New methods of supporting peritoneal dialysis (PD) for elderly patients are essential if we are to increase the number of such patients. Methods We established a two-way communication system between a central hospital and stations for visiting nurses. Home care nurses provided physicians at the central hospital with clinical findings for patients undergoing assisted PD. We compared 11 patients undergoing PD assisted by home care nurses in continuous interactive communication with the central hospital (cases) with 11 patients undergoing unassisted PD who were matched by sex, primary disease, estimated glomerular filtration rate at the start of PD, and age at the start of PD (controls). The variables compared were hospitalization due to heart failure, exit-site infection, peritonitis, and the composite of these causes during a 1-year period. In addition, we compared patient clinical factors between groups. Results Although differences in the number of hospitalizations attributable to exit-site infection, peritonitis, and heart failure were not significant, the difference in the number of hospitalizations attributable to a composite of these causes was significant. Exit-site scores were significantly better in the case group than in the control group. Conclusions PD assisted by home care nurses using an established continuous interactive communication system was associated with significantly better exit-site scores. Fewer cases than controls were hospitalized. |
| first_indexed | 2024-12-17T07:34:50Z |
| format | Article |
| id | doaj.art-58f1504282a5427b9db006f820103ec4 |
| institution | Directory Open Access Journal |
| issn | 2059-1381 |
| language | English |
| last_indexed | 2024-12-17T07:34:50Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj.art-58f1504282a5427b9db006f820103ec42022-12-21T21:58:22ZengBMCRenal Replacement Therapy2059-13812021-07-01711710.1186/s41100-021-00359-3Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysisKohsuke Terada0Yorito Yanagida1Tomohiro Yan2Toshiki Funakoshi3Akio Hirama4Tetsuya Kashiwagi5Yukinao Sakai6Department of Nephrology, Graduate School of Medicine, Nippon Medical SchoolIKIIKI SUN Visiting Nursing Rehabilitation StationDepartment of Nephrology, Graduate School of Medicine, Nippon Medical SchoolDepartment of Nephrology, Graduate School of Medicine, Nippon Medical SchoolDepartment of Nephrology, Graduate School of Medicine, Nippon Medical SchoolDepartment of Nephrology, Graduate School of Medicine, Nippon Medical SchoolDepartment of Nephrology, Graduate School of Medicine, Nippon Medical SchoolAbstract Background The Japanese population is aging quickly. New methods of supporting peritoneal dialysis (PD) for elderly patients are essential if we are to increase the number of such patients. Methods We established a two-way communication system between a central hospital and stations for visiting nurses. Home care nurses provided physicians at the central hospital with clinical findings for patients undergoing assisted PD. We compared 11 patients undergoing PD assisted by home care nurses in continuous interactive communication with the central hospital (cases) with 11 patients undergoing unassisted PD who were matched by sex, primary disease, estimated glomerular filtration rate at the start of PD, and age at the start of PD (controls). The variables compared were hospitalization due to heart failure, exit-site infection, peritonitis, and the composite of these causes during a 1-year period. In addition, we compared patient clinical factors between groups. Results Although differences in the number of hospitalizations attributable to exit-site infection, peritonitis, and heart failure were not significant, the difference in the number of hospitalizations attributable to a composite of these causes was significant. Exit-site scores were significantly better in the case group than in the control group. Conclusions PD assisted by home care nurses using an established continuous interactive communication system was associated with significantly better exit-site scores. Fewer cases than controls were hospitalized.https://doi.org/10.1186/s41100-021-00359-3Assisted peritoneal dialysisExit-siteVisiting nursingHospitalization |
| spellingShingle | Kohsuke Terada Yorito Yanagida Tomohiro Yan Toshiki Funakoshi Akio Hirama Tetsuya Kashiwagi Yukinao Sakai Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis Renal Replacement Therapy Assisted peritoneal dialysis Exit-site Visiting nursing Hospitalization |
| title | Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| title_full | Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| title_fullStr | Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| title_full_unstemmed | Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| title_short | Effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| title_sort | effectiveness of a continuous interactive communication system for home care nursing assistance of peritoneal dialysis |
| topic | Assisted peritoneal dialysis Exit-site Visiting nursing Hospitalization |
| url | https://doi.org/10.1186/s41100-021-00359-3 |
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