Effect of hospital‐community online management on medication management of elderly patients with peritoneal dialysis during COVID‐19

Abstract

IntroductionThe 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.MethodsA 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.ResultsAfter 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).ConclusionHospital‐community online management presents good effects in the medication management of PD patients with ESRD.