Evaluating Home Haemodialysis Caregiver Support & Nursing Contact Frequencies

Abstract

Background: Home Haemodialysis (HHD) provides superior cardiovascular outcomes and survival compared to in-center therapy. However, domestic renal replacement therapy shifts substantial operational burden onto patients and unpaid family caregivers. Unscheduled clinical communications dominate community nursing workloads, driven primarily by secondary psychological distress and technique anxiety rather than primary mechanical failure. Objectives: To quantify operational communication triggers between HHD households and specialist community renal nursing teams, establishing an empirically anchored framework for digital positive psychology micro-interventions (Positive PKD) designed to cultivate patient activation and caregiver resilience. Methods: A 12-month retrospective audit of contact logs across regional HHD cohorts (N=84 dyads) was conducted alongside baseline assessment protocols using the Values in Action (VIA) Inventory of Strengths and Patient Activation Measure (PAM). Digital micro-learning modules (