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The goal of this clinical trial is to Improve the quality of life in Hemodialysis patient. The main questions it aims to answer are:
Intervention group: On the basis of routine outpatient management, patients or their family members were subjected to remote follow-up management based on wechat, and the follow-up time was 6 months. Specific methods: Same as the control group, the information of weight and blood pressure of the patients was registered at the end of dialysis, and the purpose, role and importance of weight management were informed to the patients. On this basis, a special wechat signal is set up to add patients or patients' family members as wechat friends and establish a wechat interaction platform with patients. In the interdialysis period, remind patients to weigh themselves through wechat (the time of each weighing is fixed, preferably consistent with the time of weighing in the hemodialysis center), control the weight gain during the interdialysis period not to exceed 4.5% of dry weight, and inform patients again about the purpose, role and importance of weight management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Other | received routine outpatient management. Specific methods: The dialysis doctor registered the information of the patient's weight and blood pressure at the end of dialysis, and informed the patient of the purpose, role and importance of weight management. |
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| Intervention group | Other | On the basis of routine outpatient management, patients or their family members were subjected to remote follow-up management based on wechat, and the follow-up time was 6 months. Specific methods: Same as the control group, the information of weight and blood pressure of the patients was registered at the end of dialysis, and the purpose, role and importance of weight management were informed to the patients. On this basis, a special wechat signal is set up to add patients or patients' family members as wechat friends and establish a wechat interaction platform with patients. In the interdialysis period, remind patients to weigh themselves through wechat (the time of each weighing is fixed, preferably consistent with the time of weighing in the hemodialysis center), control the weight gain during the interdialysis period not to exceed 4.5% of dry weight, and inform patients again about the purpose, role and importance of weight management. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Family weight self-measurement and remote follow-up management based on wechat. | Other | On the basis of routine outpatient management, patients or their family members were subjected to remote follow-up management based on wechat, and the follow-up time was 6 months. Specific methods: Same as the control group, the information of weight and blood pressure of the patients was registered at the end of dialysis, and the purpose, role and importance of weight management were informed to the patients. On this basis, a special wechat signal is set up to add patients or patients' family members as wechat friends and establish a wechat interaction platform with patients. In the interdialysis period, remind patients to weigh themselves through wechat (the time of each weighing is fixed, preferably consistent with the time of weighing in the hemodialysis center), control the weight gain during the interdialysis period not to exceed 4.5% of dry weight, and inform patients again about the purpose, role and importance of weight management. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event rate | incidence of cardiovascular events (or hospitalization rate due to cardiovascular events such as hypertension and heart failure) | 4, 8, and 12 weeks after intervention |
| Rate of completion | Completion rate of home self-measured weight combined with wechat intervention(including completion rate of home self-measured weight, completion rate of wechat intervention, and combination completion rate） | 4, 8, and 12 weeks after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| dialysis related symptoms | (fatigue, weakness, pruritus, dialysis patient quality of Life scale) | 4, 8, and 12 weeks after treatment |
| Laboratory index | hemoglobin |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qinxiu Zhang Professor | Contact | 18980880173 | zhqinxiu@163.com | |
| Xueying Li Dr | Contact | 18780906804 |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39910544 | Derived | Wang X, Yan B, Zhang S, Zhou Y, Zhang Q, Li X. Management of volume load for patients undergoing hemodialysis via WeChat and home monitoring in China: a protocol for a cluster-randomized trial. BMC Nephrol. 2025 Feb 6;26(1):58. doi: 10.1186/s12882-024-03932-0. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Routine care | Other | The dialysis doctor registered the information of the patient's weight and blood pressure at the end of dialysis, and informed the patient of the purpose, role and importance of weight management. |
|
| 4, 8, and 12 weeks after treatment |
| level of Ga | Laboratory index | 4, 8, and 12 weeks after treatment |
| level of P | 4, 8, and 12 weeks after treatment |
| level of PTH | 4, 8, and 12 weeks after treatment |
| level of K | 4, 8, and 12 weeks after treatment |
| level of Na | 4, 8, and 12 weeks after treatment |
| level of Cl | 4, 8, and 12 weeks after treatment |
| concentration of albumin and prealbumin | 4, 8, and 12 weeks after treatment |
| Laboratory index of total protein | 4, 8, and 12 weeks after treatment |
| Dialysis efficiency \ dialysis adequacy (KTV) | Dialysis efficiency \ dialysis adequacy (KTV) | 4, 8, and 12 weeks after treatment |