中国における慢性腎臓病治療のための eHealth ベースの自己管理介入

実験的：医療ダッシュボードに基づく自己管理介入

介入グループの慢性腎臓病患者は、通常のケアに加えて、カスタマイズされた「メディカル ダッシュボード」ベースの自己管理介入を受けます。

行動：医療ダッシュボードに基づく自己管理介入

介入を開始する前に、慢性腎臓病患者と医療提供者は、Medical Dashboard の使用に関する対面トレーニング セッションを受けます。 汚染を避けるために、医療ダッシュボードは、パスワードで保護された安全な登録プロセスを介して、介入グループの参加者のみがアクセスできるようになります。

介入なし：通常の介護サービス

比較グループの慢性腎臓病患者は、腎臓病改善全体的転帰（KDIGO）に概要が示されているように、経験した症状と疾患の重症度に基づいて個別化された入院および外来治療からなる通常の治療を受けることになります。

Change of chronic kidney disease self-management behavior using Chronic Kidney Disease Self-Management (CKD-SM) instrument

The Chronic Kidney Disease Self-Management (CKD-SM) instrument with 29 items uses a four-point likert scale ranging from 1 (never) to 4 (always) to measure subjects' self-management behavior. Possible scores range from 29 to 116 points, with higher scores indicating better self-management behavior

ベースラインから無作為化後9か月までの腎疾患QOL 36項目簡易調査（KDQOL-36）を使用した慢性腎疾患QOLの変化

腎疾患の生活の質の 36 項目の簡易調査 (KDQOL-36) は、健康関連の生活の質を評価するために使用されます。 36 項目あります。 スコアの範囲は 0 ～ 100 ポイントで、スコアが高いほど健康関連の生活の質が高いことを示します

Change of number of complications patients

Change of number of complications patients

Change of chronic kidney disease self-efficacy using Chronic Kidney Disease Self-efficacy (CKD-SE) scale

The Chronic Kidney Disease Self-efficacy (CKD-SE) scale is a 25-item self-administered scale that measures subjects' confidence. Responses range from no confidence (0) to the highest degree of confidence (10). Possible scores range from 0 to 250 points, with higher scores indicating greater levels of confidence

Change of chronic kidney disease illness perception using Brief Illness Perception Questionnaire (BIPQ)

The Brief Illness Perception Questionnaire (BIPQ) is a nine-item scale designed to rapidly assess the cognitive and emotional representations of illness. This scale consists of eight items related to illness perception. In addition, patients are asked to identify the three most important factors that they believe have caused their illness. All of the items except the causal question are rated using a 0 to 10 response scale. Higher scores indicate stronger perceptions along that dimension. The scores of items 3, 4, and 7 are calculated and expressed as reverse scores in this scale. Possible scores range from 0 to 80 points, with higher scores indicating a more threatening view of the illness

Change of chronic kidney disease anxiety and depression status using the Hospital Anxiety and Depression Scale (HADS)

Hospital Anxiety and Depression Scale (HADS) is used to determine the levels of anxiety and depression that a person is experiencing. It is a fourteen item scale that generates ordinal data. Seven items measure symptoms of anxiety and seven items measure symptoms of depression . Each item is coded from 0 to 3. Possible scores range from 0 to 21 points for sub-scale on anxiety or depression, with higher scores indicating greater levels of burden of anxiety or depression