Patient experience in automated peritoneal dialysis with telemedicine monitoring during the COVID-19 pandemic in Mexico: Qualitative study.
Miguel Ángel Cuevas-Budhart, Ingrid Xiomara Celaya Pineda, Diana Perez Moran and 5 others
PMID 36229915WHAT IT FOUND
Patients on automated peritoneal dialysis in Mexico linked lockdown isolation, fear of hospital visits, and money problems to anxiety, depression, and avoiding care.
They also said remote monitoring helped them stay home and raise problems early.
Key findings
01Patients reported that isolation from family and restricted daily activities led to loneliness, anxiety, depression, and feeling trapped.
02Fear of hospital exposure and disrupted routine appointments made some patients avoid follow-up and live with symptoms.
03Patients said the automated peritoneal dialysis remote-monitoring care model allowed early problem detection, outpatient treatment, and reporting problems without travelling to hospital.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Telephone interviews captured only spoken accounts, so non-verbal cues and distractions were not recorded. The study was set in one Mexican automated peritoneal dialysis remote-monitoring model, so experiences may not apply to other dialysis settings or countries. Participants were selected through teleconsultations because they had a strong need to express their experiences, so they may not represent all patients. The paper reports themes from interviews, not measured clinical or psychological outcomes. The paper gives different counts for the analysed sample in the text and a table heading.
Declared interests
Research received financial support from Baxter Company Research and Continuing Education Groups. Authors declared no conflict of interest regarding the research, authorship, or publication.
The easy way to misread this
Do not read this as proof that telemedicine monitoring improves mental health or dialysis outcomes. It reports patients' experiences and perceived benefits, not measured effects.