A Hybrid Transition Program Combining Face-to-Face and Digital Approaches for Patients Newly Initiated on In-Center...

Area of Science:

• Nephrology
• Nursing Science
• Digital Health

Background:

• End-stage renal disease (ESRD) is increasing globally, leading to more patients starting hemodialysis.
• The transition to hemodialysis presents significant lifestyle challenges and requires multidimensional adaptation.
• Successful adaptation is crucial for the long-term physical and psychological well-being of hemodialysis patients.

Purpose of the Study:

• To evaluate the effectiveness of a hybrid transition program for patients initiating in-center hemodialysis.
• The program integrated face-to-face education with mobile application support.
• Assessed impact on transition success, depression, quality of life, and clinical indicators.

Main Methods:

• A multicenter quasi-experimental study involving 57 patients undergoing hemodialysis.
• Intervention group (n=30) received an 8-week hybrid program; control group (n=27) received usual care.
• Data collected at baseline, post-intervention, and 4-week follow-up; analyzed using repeated-measures ANOVA and GEE.

Main Results:

• Significant improvements observed in the intervention group for transition (p=.013), depression (p=.001), quality of life (p=.038), and interdialytic weight gain (p=.042).
• The hybrid program led to better patient transition and quality of life.
• Reduced depression and interdialytic weight gain were noted in the intervention group; no significant changes in dialysis symptoms or electrolytes.

Conclusions:

• The hybrid transition program effectively improved patient transition to hemodialysis.
• It significantly reduced depressive symptoms and enhanced the quality of life for new hemodialysis patients.
• Hybrid models combining digital and in-person support are valuable nursing strategies for successful hemodialysis transitions.