#531 Exploring differences in cognitive and behavioral outcomes of home-based self-care retraining in peritoneal dialysis patients

Abstract Background and Aims The self-care ability of peritoneal dialysis patients has a great impact on their quality of life and survival rate. If a patient encounters a problem during home dialysis, he or she will call the on-duty consultation hotline. This study integrated the problem categories of patients' dialing events and designed problem-oriented guidance and treatment to provide patients with re-education, and to explore the cognitive and behavioral differences in their self-care abilities. Method This research tool analyzes the consultation call events from July to December 2019 and divides the consultation call events into five categories, including APD (Automated peritoneal dialysis) machine operation-related issues accounting, other non-emergency-related events accounting, Peritoneal dialysis-related emergencies accounted, CAPD (Continuous Ambulatory Peritoneal Dialysis)Continuous ambulatory procedure-related problems accounted, and peritoneal dialysis catheter-related events accounted. The self-designed questionnaire content is designed in a problem-oriented manner for non-emergency events to measure common problems in home self-care. The questionnaire in this study adopted expert validity and was reviewed by three experts with more than 7 years of senior peritoneal dialysis practice experience. After the patient agrees, a pre-test cognitive questionnaire is collected. The nurse will explain to the patient or primary caregiver one-on-one, provide explanations on the conditions that peritoneal dialysis patients will face during dialysis, and explain and publicize self-care at home. The post-test questionnaire was conducted 1–3 months after the pre-test questionnaire was collected. Results Totally 302 questionnaires were collected for this study. After t-test analysis, 18 cognitive assessment items and the number of non-emergency consultation calls reached statistical significance (see Table 1). The accuracy rate of the cognitive questionnaire before and after the test increased from 85.08% to 97.47%. The number of non-emergency consultation calls decreased from 78 (29.2%) to 46 (20.6%), which was also significant difference (P < 0.007). Conclusion Peritoneal dialysis is a home dialysis with self-care as the core. The patient's self-care ability directly affects the dialysis efficacy and quality of life. Continuous health education and regular skill retraining can promote patients' problem-solving skills and improve the quality of dialysis care. Keywords: Peritoneal dialysis, education, self-care ability, cognition