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논문분류	춘계학술대회 초록집
제목	Impact of Structured Patient Education on Complications and Understanding Levels in Peritoneal Dialysis Patients
저자	Min Woo Kang
출판정보	2025; 2025(1):
키워드	peritoneal dialysis, education, complicaion, understanding
초록	Peritoneal dialysis (PD) patients independently perform dialysis, requiring effective self-management to minimize complications. Patient education is crucial for successful PD care. This study evaluated whether structured education reduces complications and the effect increases according to the frequency. A pilot homecare program for PD patients was conducted across 83 hospitals by the Health Insurance Review and Assessment Service (HIRA). The program provided two educational interventions: detailed education regarding PD complications delivered by physicians (IB510; 4–6 times/year), and supportive nursing education including phone consultations (IB520; ~12 times/year). Data were collected based on patient management-fee forms (IB530), which were used to evaluate PD-related complications, submitted to the HIRA database from December 16, 2019, to June 30, 2021. A McNemar test compared complication rates between pre- and post-education. Patients were also stratified according to the frequency of education (low and high), and patients’ understanding were compared between groups. IB510 and IB520 were provided to 1,370 and 2,670 patients, respectively, with average of 2.35 and 4.01 sessions. Both educations significantly reduced patient complaints, including dyspnea, edema, vomiting, abdominal pain, and constipation, as well as complications such as catheter-related issues, discharge from exit site, incorrect dialysate infusion/drainage, and outpatient or emergency visits. Regarding the frequency of IB510, the high-frequency subgroup (n=503; 4.00±0.81 sessions) had significantly higher scores in patient understanding reported from nurses (grade 0-4) compared to the low-frequency subgroup (n=867; 1.40±0.49 sessions; 3.79±0.54 vs. 3.48±0.76, p<0.001). Similarly, in IB520, the high-frequency subgroup (n=1,021; 6.84±1.59 sessions) had higher understanding scores compared to the low-frequency subgroup (n=1,649; 2.26±1.08 sessions; 3.67±0.72 vs. 3.51±0.66, p<0.001). Structured education significantly reduced PD complications. Increasing education frequency enhanced patient understanding, emphasizing the importance of regular education for improved PD management at home.
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