Abstract: 【Abstract】Objective To establish a joint care mode for automated peritoneal dialysis (APD) patients based on a remote monitoring system and to analyze its application effects. Methods This was a prospective cohort study which recruits the end stage renal disease (ESRD) patients treated in the Peritoneal Dialysis Center of the Department of Nephrology, the Second Affiliated Hospital of PLA Military Medical University from June 1, 2018 to January 31, 2019. The patients with continuous ambulatory peritoneal dialysis (CAPD) and treated with routine follow-up mode were used as the control group; the APD patients with the joint care mode based on a remote monitoring system were used as the observation group. Complications and compliance of Kt/V were compared between the two groups. Social re-participation and sleep quality were compared between the two groups using the self-made general questionnaire and the sleep quality scale, medical outcomes study sleep scale (MOS-SS). Results In the follow-up period until February 2020, the rate of fulltime social re-participation was 74.58% in the APD group, higher than 5.13% in the CAPD group (χ2=71.180, P=0.000). However, there were no statistical significances in peritonitis, exit infection, mechanical complications, withdrawal from the treatment, emergent hospitalization and compliance of Kt/V between the two groups (χ2= 0.162, 0.154, 0.643, 0.167, 0.548 and 0.651 respectively; P=0.687, 0.215, 0.423, 0.683, 0.459 and 0.983 respectively), neither in self-reported overall sleep quality including sleep disturbance, sleep adequacy, daytime mental state, snoring, breath shortness after wakening, sleep volume and overall sleep score (χ2=0.042, 2.311, 0.752, 0.429, 0.548, 0.173 and 1.086 respectively; P= 0.839, 0.131, 0.388, 0.513, 0.460, 0.678 and 0.269 respectively). Conclusion The joint care mode for APD patients based on the remote monitoring system can improve their social re-participation and sleep quality, achieve the complication occurrence and dialysis effect similar to those in CAPD patients, and is worthy of promotion in clinical practice.

Key words: Remote monitoring, Joint care mode, Automated peritoneal dialysis, Social re-participation, Sleep quality