Abstract: Objective   To explore the application effect of medical and nursing care integrated platform based on remote monitoring system to follow up peritoneal dialysis (PD) patients.  Methods  Sixty patients undergoing PD and followed up at Shengjing Hospital of China Medical University from June 2017 to May 2020 were selected as the control group, and a total of 60 PD patients followed up from June 2020 to May 2023 were assigned to the observation group. The control group received routine care, while the observation group received the medical and nursing care integrated platform based on remote monitoring system. Medication compliance, complication rate, re-hospitalization and re-examination score were compared between the two groups.  Results  Compared with the control group, medication compliance of patients in the observation group was significantly improved (63.33% vs. 46.67%, χ2=4.062, P=0.044), complication rate was significantly reduced (26.67% vs. 46.67%, χ2=5.167, P=0.023), re-hospitalization rate was lower (23.33% vs. 41.67%, χ2=4.596, P=0.032), and re-examination score was significantly increased (88.13±6.36 vs. 81.32±9.78, t=4.527, P<0.001).  Conclusion   The application of medical and nursing care integrated platform based on remote monitoring system can help PD patients better comply with medications and reduce complications, and can also improve the quality of management to chronic diseases.

Key words: Remote monitoring, Integration of medical and nursing care, Peritoneal dialysis, Chronic disease management, Compliance