Authors (including presenting author) :
Sung KMD(1), Au PM(1), Leung WH(1)
Affiliation :
(1)Renal Unit,Department of medicine,Queen Elizabeth Hospital
Introduction :
Continuous Ambulatory Peritoneal Dialysis (CAPD) is the first-line home-based renal replacement therapy for end stage kidney disease (ESKD) patients under PD first policy in Hong Kong. Patients have to undergo a comprehensive training program under a multi-disciplinary approach before they can manage CAPD themselves at home. In Queen Elizabeth Hospital (QEH), the CAPD training program composes of home-visiting training sessions by renal nurses. It aims on home-setting and daily life schedule modifications, minimize the risk of environmental contamination that can lead to PD-related infections and assimilate CAPD into their life by enhance patient empowerment.
COVID-19 pandemic interrupted health care services because of social distancing policy, onsite home-visiting training service was suspended since 2019. In order to fill up the service gap, a pilot Tele-home-training program was initiated in QEH in 2021. This service model delivery will not be disturbed by various unforeseeable conditions such as social distancing policy or extreme weather
Objectives :
In order to deliver an optimal, seamless and constant nursing service under the new normal situation, a pilot Tele-home-training service program was launched in QEH T3 renal unit from April 2021 for ESKD patients who underwent CAPD. Patients’ attitudes and opinions about this program were then assessed by a survey
Methodology :
A self-rating 5-point Likert scale satisfaction survey was conducted in every respondent after the training program regarding the minimization of COVID-19 transmission risk during pandemic period, recommendation of home-setting modification plan, identification of environmental contamination risks leading PD-related infections, promotion of home-based therapy adaptation, training program quality enhancement and user friendliness in service delivery in terms of technical operation.
Result & Outcome :
Three Tele-home-training sessions were conducted in 3 patients between 1st April to 30th May 2021. The response rate of the survey was 100%. All of them agreed (67% strongly agreed) that Tele-home-training service for home PD training could reduce the transmission risk of COVID-19 infection during the pandemic period. All participants agreed (67% strongly agreed) that this Tele-home-training service could provide them relevant suggestions for home-setting modifications, as well as helping them to identify the problems of home environment in order to minimize the risks of PD-related infections. A majority of participants agreed that this Tele-home-training service could upgrade the quality of PD training and facilitate their adaptation to perform PD bag exchange procedures at home. Regarding to the technical issues for the conduction of this tele-nurse-service, two-thirds of participants agreed that the operations were user-friendly and the procedures could run smoothly. All participants were highly satisfied (67% strongly agreed) with the overall Tele-home-training service.
