The Impact of Community-Hospital-Family Interactive Management on Social Isolation in Elderly Patients Undergoing Maintenance Hemodialysis.

OBJECTIVE

The primary objective was to evaluate the impact of the Community-Hospital-Family Interactive Management (CHFIM) Model on social isolation in elderly patients undergoing maintenance hemodialysis. Secondary objectives included assessing its effects on social support, loneliness, depression, and family function.

METHODS

A total of 160 elderly maintenance hemodialysis patients from the Blood Purification Center of Taixing People's Hospital between July 2023 and March 2024 were selected as the study subjects. Using a controlled trial design, the patients were divided into a control group (n = 80) and an intervention group (n = 80). The control group received routine care, while the intervention group received Community-Hospital-Family Interactive Management. The social network level, social support level, loneliness, and depression levels of the two groups were compared.

RESULTS

After the intervention, the intervention group showed significant improvements in social network level (primary outcome) and social support, along with significant reductions in loneliness and depression (secondary outcomes) compared to the control group (p < 0.05).

CONCLUSION

The CHFIM Model effectively reduces social isolation in elderly maintenance hemodialysis patients, promoting their physical and mental health.

TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR2500107611.