title: Effects of post-discharge nurse-led telephone supportive care for patients with chronic kidney disease undergoing peritoneal dialysis in China: a randomized controlled trial.
abstract: BACKGROUND
  Patients with end-stage renal failure (ESRF) need integrated health care to maintain a desirable quality of life. Studies suggest that post-discharge nurseled telephone support has a positive effect for patients suffering from chronic diseases. But the post-discharge care is under-developed in mainland China and the effects of post-discharge care on patients with peritoneal dialysis have not been conclusive.
  
  
  OBJECTIVE
  The purpose of this study is to test the effectiveness of postdischarge nurse-led telephone support on patients with peritoneal dialysis in mainland China.
  
  
  METHODS
  A randomized controlled trial was conducted in the medical department of a regional hospital in Guangzhou. 135 patients were recruited, 69 in the study group and 66 in the control group. The control group received routine hospital discharge care. The study group received post-discharge nurse-led telephone support. The quality of life (Kidney Disease Quality of Life Short Form, KDQOL-SF), blood chemistry, complication control, readmission and clinic visit rates were observed at three time intervals: baseline before discharge (T1), 6 (T2) and 12 (T3) weeks after discharge.
  
  
  RESULTS
  Statistically significant effects were found for symptom/problem, work status, staff encouragement, patient satisfaction and energy/fatigue in KDQOL-SF and 84-day (12-week) clinic visit rates between the two groups. The study group had more significant improvement than the control group for sleep, staff encouragement at both T2 and T3, and pain at T2 and patient satisfaction at T3. No significant differences were observed between the two groups for the baseline measures, other dimensions in KDQOL-SF, blood chemistry, complication control, readmission rates at all time intervals and clinic visit rates at the first two time intervals.
  
  
  CONCLUSIONS
  Post-discharge nurse-led telephone support for patients undergoing peritoneal dialysis is effective to enhance patients' well-being in the transition from hospital to home in mainland China.
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Juan
authors.initials: J
authors.lastname: Li
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Huizhen
authors.initials: H
authors.lastname: Wang
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Hongzhen
authors.initials: H
authors.lastname: Xie
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Guiping
authors.initials: G
authors.lastname: Mei
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Wenzhi
authors.initials: W
authors.lastname: Cai
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Junsheng
authors.initials: J
authors.lastname: Ye
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Jianlin
authors.initials: J
authors.lastname: Zhang
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Guirong
authors.initials: G
authors.lastname: Ye
authors.affiliation: School of nursing, Southern Medical University, Guangzhou, Guangdong 510515, China; Department of Nursing, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China; Department of Organ Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China; and Department of Nephrology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong 510010, China.
authors.forename: Huimin
authors.initials: H
authors.lastname: Zhai
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000639:trends; D002681:China / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D017060:Patient Satisfaction; D010530:Peritoneal Dialysis / Q000379:methods* / Q000451:nursing; D011788:Quality of Life; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology / Q000451:nursing* / Q000628:therapy; D012189:Retrospective Studies; D013689:Telephone; D055815:Young Adult
keywords: China; Peritoneal dialysis; discharge; nursing; telephone support