Effectiveness of a smart management system in improving adherence and clinical outcomes of patients receiving peritoneal dialysis: a retrospective cohort analysis

作者：Yilin Zeng, Yan Yin, Jia Deng, Chen Dai, Lili Deng, Dan Wang, Yujun Huang, Jingjun Peng, Zhiming Ye · 发表于：BMC Nursing · 年份：2025 · DOI：10.1186/s12912-025-03506-x · 被引用次数：5 · 研究领域：Dialysis and Renal Disease Management、Mobile Health and mHealth Applications、Heart Failure Treatment and Management

BACKGROUND: Peritoneal dialysis (PD) is a widely used form of home dialysis. However, the efficacy of telehealth care in long-term management for PD patients remains unclear. OBJECTIVE: The objective of this study is to assess the effectiveness of a smart management system in improving adherence, quality of life, and clinical outcomes in PD patients. METHODS: The study was a retrospective cohort analysis on PD patients who underwent new catheter placement between January 2022 and June 2023. The smart PD management system, an artificial intelligence (AI)-driven, nurse-led, patient-centered management system, was used to remotely monitor patients' health at home and assist healthcare team in patient management, serving as a complement to conventional clinic visits. Patient data, including dialysis diary, symptoms, laboratory test results, and medication records, were collected through a smartphone app and uploaded to a cloud server. An AI system conducted real-time data analysis and promptly notified the healthcare team upon detecting any abnormalities. Online health coaches and nurses provided personalized guidance and interventions to patients, addressing issues in real-time. The primary endpoints of the study were changes and achievement rates in blood pressure and laboratory test results associated with complications. Secondary endpoints included changes in adherence and quality of life at recruitment and end of follow-up. RESULTS: A total of 127 patients participated in th...