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Abstract: FR-PO0570

Development and Efficacy of Virtual Reality-Assisted Training for Peritoneal Dialysis: A Preliminary Result

Session Information

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Zhou, Zijuan, Peking Union Medical College Hospital, Beijing, China
  • Wang, Haiyun, Peking Union Medical College Hospital, Beijing, China
  • Zheng, Xixi, Peking Union Medical College Hospital, Beijing, China
  • Yang, Wei, Peking Union Medical College Hospital, Beijing, China
  • Ying, Cui, Peking Union Medical College Hospital, Beijing, China
  • Gao, Ying Ying, Peking Union Medical College Hospital, Beijing, China
  • Zhang, Yue, Communication University of China, Beijing, China
  • Xia, Peng, Peking Union Medical College Hospital, Beijing, China
  • Chen, Limeng, Peking Union Medical College Hospital, Beijing, China
Background

Before starting peritoneal dialysis (PD), it is essential to train the patient or their caregiver for over 30 hours, which requires considerable human resources. A randomized controlled trial is being conducted to investigate the efficacy and safety of a virtual reality (VR) assisted PD training program compared with a traditional PD training program.

Methods

A VR-assisted PD operation training program was developed. A prospective, randomized controlled (1:1) study (ChiCTR2300075277) was conducted. The experimental group: patients will receive VR-assisted PD training for 0.5 days, followed by PD nurse training. The control group: patients will receive traditional training from PD nurses. Both groups received assessments of their skills, and the training time was recorded. The primary observation endpoint is the assessment score for PD operation.

Results

A VR-assisted PD training program was developed using the Unity 3D engine and run with the PICO4 helmet. This program consists of 10 main stages with 75 detailed steps, starting with"putting on the hat and mask" and ending with " completing the drainage process". Users can interact with the items in the scene in different ways to achieve operational training. Until April 2025, we recruited 26 patients, including 13 in the experimental group and 13 in the control group. A total of 10 people in the experimental group completed the study, while two patients withdrew due to dizziness and one due to personal reasons. There were no significant differences in age, gender, and educational level between the two groups. Compared with the control group, the hemoglobin, albumin, potassium, urea nitrogen, and estimated GFR of the experimental group at the beginning of training were comparable. In peritoneal dialysis training, there were no significant differences in the time from catheterization to the start of training and the total training time between the experimental group or the control group. However, the time spent by PD nurses was reduced (3.4 ± 0.3 days vs. 4 ± 0 days, P < 0.001) without a significant difference in the assessment score.

Conclusion

VR-assisted PD training can reduce the human resource consumption of PD nurses with a similar training effect as the traditional training process.

Digital Object Identifier (DOI)