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

Introduction: The study aimed to explore feasibility and effect of hospital-community online management on the medication management of elderly perito-neal dialysis (PD) patients with end-stage renal disease (ESRD) during COVID-19.Methods: 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.Results: 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 signifi-cantly higher, whereas the BDI score (9.50 +/- 2.86 vs. 12.08 +/- 2.95) was signifi-cantly lower in the observation group than in the control group (p < 0.05).Conclusion: Hospital-community online management presents good effects in the medication management of PD patients with ESRD.

Automated summary

Hospital-community online management has shown positive effects on medication management of ESRD patients, improving self-efficacy, medication adherence, quality of life, and reducing depression.