Abstract: 【Abstract】Objective To explore the effects of Feynman learning method on self-management compliance and dialysis adequacy in patients performing peritoneal dialysis (PD) at home. Methods We recruited 269 (PD) patients performing PD at home and regularly followed-up as the outpatients in the Peritoneal Dialysis Center of our hospital from January 2019 to June 2019. They were divided into research group (n=146) and control group (n=123). Patients in the research group were treated with the Feynman learning method, while those in the control group with the guidance education method. The self-management compliance and dialysis adequacy were compared between the two groups after the treatment for 6 months. Results The total
score of diet attitude compliance was higher in the research group than in the control group (85.70±3.13 vs.80.60±5.25, t=4.374, P＜0.001), and so was the total score of diet behavior compliance (73.65 ± 4.02 vs. 69.30± 4.46, t = 3.055, P = 0.007). The incidence of grade 2 and grade 3 edema in the research group was 10.96%, significantly lower than that in the control group (32.52%, χ2= 26.576, P＜ 0.001). The parameters of creatinine clearance (Ccr), compliance rate of Ccr, dialysis adequacy Kt/V value and compliance rate of Kt/V value were all better in the research group than in the control group (67.11 ± 9.65 vs. 58.61 ± 10.77, 76.71% vs. 61.79%, 1.83±0.21 vs. 1.71±0.23 and 65.75% vs. 51.22% respectively; t=3.925, 7.065, 2.623, and χ2=5.834 respectively; P=0.001, 0.011, 0.016 and 0.018 respectively). Conclusion The Feynman learning method can improve self-management compliance and dialysis adequacy in patients performing PD at home.

Key words: feynman learning method, home peritoneal dialysis, compliance, dialysis adequacy