Abstract: Objective  To explore the effect of the 4Y management model-based family participation in remote care program during hospital-home transition period in peritoneal dialysis (PD) patients.  Method A total of 80 patients with newly implanted PD tubes in the Peritoneal Dialysis Center of The First Affiliated Hospital of Zhengzhou University from September to December 2023 were recruited as the research subjects by convenient selection method. They were randomly divided into a test group (n=40) and a control group (n=40). The control group received routine health guidance and out-of-hospital home follow-up, while the test group received a 4Y-managed (yes plan, yes duty, yes check, and yes drive) home participation remote care program. After 8 weeks, effects of the two intervention programs were compared using the Peritoneal Dialysis Self-Management Scale, Coping Effectiveness Scale, and Family Care Capacity Scale.  Results  In test group after 8 weeks of intervention, the self-management score was higher than that of the control group (t=3.174, P=0.002), the coping efficacy score was higher than that of the control group (t=5.551, P＜0.001), and the family care ability was stronger than that of the control group (t=-2.883, P=0.005).  Conclusion  The 4Y management model of family participation in remote care can improve the self-management ability, coping efficiency, and family care ability of the PD patients during hospital-home transition period.

Key words: Peritoneal dialysis; , Transition period; , Home care