Treatments | Control group | Intervention group |
---|---|---|
Standard CKD care according to NKF-K/DOQI guidelines | Yes | Yes |
Multidisciplinary team provide educational activities during each hospital visit. | No | Yes |
Topics: | ||
1. Optimal diets for CKD patients | ||
2. CKD medications | ||
3. Exercise for seniors | ||
Community CKD care network provide home visit. | Yearly | Quarterly |
Key activities: | ||
1. 24-hour dietary recall | ||
2. Blood pressure measurement | ||
3. Medication compliance monitoring | ||
4. Exercise monitoring |