Application of Wearable Devices to Build a Self-Management Model in Chronic Kidney Disease Patients- Analysis of Healthcare Cost = 運用穿戴式裝置建立慢性腎臟病病人健康管理模式
Background: End stage renal disease (ESRD) is a global public health issue. The dialysis therapy brings huge economic burden to many countries. According to the report of 2015 United States Renal Data System (USRDS), the incidence rate of ESRD is 458 people per million populations. And the prevalence rate is 3,138 people per million populations, which is the highest one in the world. Chronic kidney disease (CKD) can be classified into five stages according to glomerular filtration rate. Whatever the stage it is, patients should keep healthy habits about diet and exercise and good adherence to medication. If patients are able to monitor their lifestyle, it not only promotes health, but also reduces the cost of health care. Aim: By application of wearable devices and health management platform to build self-management model in CKD patients and analyze the cost of healthcare. Material and Methods: In our study, we plan to recruit 60 CKD patients as trial subjects. The experimental group is composed of 30 participants, and the control group 30 participants. The experimental group received intervention with wearable devices and health management platform for 90 days. Patients record their own diet diary by a smart phone application, and their exercise-related data are collected by wearable devices. Then, all the collected information will be upload to health management platform. We also create a LINE group to encourage exercise in the experimental group. We compare the scores of self-management sheet and physical and laboratory examinations before and after the intervention. We also analyze the cost of healthcare within 180 days.Anticipated Results: If the grant will be approval by reviewers, we will help CKD patients to keep in healthy habits about diet and exercise and good adherence to medication. Out results will provide a self-management model in CKD patients and eventually save healthcare cost.