title: Experiences with establishing the first self-care hemodialysis program in a hospital in mainland China.
abstract: There has never been a home hemodialysis (HHD) program or self-care hemodialysis (SC-HD) program in Mainland China, and it may be plausible starting from an SC-HD program. This study describes the systems for, and the initial results of, starting an SC-HD program. A program for SC-HD was instituted at the Peking University Third Hospital. A working group had designed the patient education program and water quality assurance. The patient's education program was established, which consisted of a handbook and a video for training. In May 2009, two patients were recruited and trained for HD. They were adequately dialyzed with satisfactory Kt/V, both the patients could perform all of the self-care procedures after training for 12 weeks. More difficult procedures, such as the self-cannulation, were successfully handled. Significant improvement was found in six of the eight short form (SF)-36 health scales after 6 months for SC-HD treatment. For the past year, there were no severe complications resulting from SC-HD. In summary, our first SC-HD program in Mainland China is feasible and safe. It promotes rehabilitation, increases self-esteem, and improves health-related quality of life. It is also a first attempt for starting an HHD program.
authors.affiliation: Division of Nephrology, Peking University Third Hospital, Beijing, China.
authors.forename: Wen-Ling
authors.initials: WL
authors.lastname: Yang
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Lian
authors.initials: L
authors.lastname: He
authors.forename: Ai-Hua
authors.initials: AH
authors.lastname: Zhang
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
authors.forename: Burford
authors.initials: B
authors.lastname: Suzie
authors.forename: Li-Jie
authors.initials: LJ
authors.lastname: Yang
authors.forename: Chi
authors.initials: C
authors.lastname: Lai
mesh_terms: D000328:Adult; D000368:Aged; D002681:China; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D019538:Health Care Surveys; D006437:Hemodialysis, Home / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000706:statistics & numerical data*; D016730:Program Development; D015397:Program Evaluation; D011788:Quality of Life; D006435:Renal Dialysis / Q000379:methods; D018570:Risk Assessment; D012648:Self Care; D016896:Treatment Outcome