The Impact of Telemedicine in Enhancing Patient Self Care for Management of Chronic Kidney Diseases

Chronic Kidney Disease (CKD) is a significant public health issue associated with increased morbidity and progression to end-stage renal disease. Although treatment options are available, outcomes remain suboptimal due to limited disease awareness, inadequate self-care practices, and poor adherence to follow-up. Telemedicine has emerged as a promising approach to enhance patient education, engagement, and self-management, particularly in resource-limited settings. This randomized controlled trial is designed to assess the impact of a structured telemedicine-based self-management support program on the progression and morbidity of CKD. The study will be conducted at a tertiary care center in Nepal. A total of 108 eligible CKD patients will be randomly allocated into two groups: an intervention group receiving telemedicine-based education and follow-up, and a control group receiving standard care. Primary outcomes include changes in estimated glomerular filtration rate (eGFR), hospitalization events, dialysis initiation, and adherence to follow-up over a period of 6 months. Secondary outcomes include medication adherence, blood pressure control, and relevant laboratory parameters. The study aims to evaluate the effectiveness of telemedicine in enhancing patient-centered care and improving outcomes in CKD management