{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:46:06Z","timestamp":1789479966607,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patients undergoing maintenance hemodialysis frequently encounter a substantial psychosocial burden, yet conventional care frequently lacks the capacity to deliver comprehensive, sustained psychosocial support due to limitations in resources. Nurse\u2010led peer support, which integrates professional expertise with the lived experience of peers, presents a promising complementary model; however, its consolidated efficacy in this population lacks rigorous synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis aimed to evaluate the effects of nurse\u2010led peer support on self\u2010management, psychological status, and quality of life in patients receiving maintenance hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This review systematically searched ten databases (PubMed, Web of Science, Embase, CINAHL, Cochrane Library, Scopus, CNKI, WanFang, VIP, and SinoMed) from their inception to 20 January 2025 for randomized controlled trials and quasi\u2010experimental studies. A meta\u2010analysis was performed using random\u2010effects models to pool standardized mean difference (SMD). The quality assessment and meta\u2010analysis were conducted utilizing the Cochrane RevMan 5.4 software, with the evidence quality being evaluated employing the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) system. The present study is registered in PROSPERO with the registration number CRD42025639997.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 292 literature records were retrieved, among which 27 studies met the inclusion criteria, and 11 provided data suitable for analysis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091074). The overall risk of bias was thus determined to be low to moderate. Peer support demonstrated significant benefits for self\u2010management (SMD\u2009=\u20090.77, 95% CI: 0.60\u20130.94; I\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200935%), quality of life (SMD\u2009=\u20090.91, 95% CI: 0.50\u20131.32; I\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200977%), and depression (SMD\u2009=\u2009\u22120.87, 95% CI: \u22121.39\u20130.36; I\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200970%). Evidence from two studies suggests that anxiety may be alleviated. The certainty of evidence was moderate for most outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis indicates that nurse\u2010guided peer support improves self\u2010management capabilities and quality of life among maintenance hemodialysis patients while alleviating depressive and anxiety symptoms. Due to the limited number of included studies and heterogeneity in intervention protocols, implementation formats, and supporter criteria, the certainty of evidence is mostly moderate. However, consistent results support the positive clinical benefits of this intervention. Therefore, integrating structured peer support into routine care systems represents an effective complementary strategy. Future research should focus on identifying key factors influencing its efficacy, developing standardized intervention protocols, and validating the effectiveness and sustainability of blended online\u2010offline delivery models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70044","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:25:25Z","timestamp":1767770725000},"page":"329-342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effectiveness of Peer Support on Self\u2010Management and Psychosocial Outcomes in Maintenance Hemodialysis Patients: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9203-6798","authenticated-orcid":false,"given":"Tiqiong","family":"Gong","sequence":"first","affiliation":[{"name":"School of Nursing Dali University  Dali Yunnan Province China"},{"name":"The People's Hospital of Yuxi City  Yuxi Yunnan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Dali University  Dali Yunnan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingshu","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Chengdu University  Chengdu Sichuan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yansheng","family":"Ye","sequence":"additional","affiliation":[{"name":"The People's Hospital of Yuxi City  Yuxi Yunnan Province China"},{"name":"Nursing Department The Sixth Affiliated Hospital of Kunming Medical University  Yuxi Yunnan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.05.013"},{"key":"e_1_2_11_3_1","volume-title":"USRDS 2023 Annual Data Report: Epidemiology of Kidney Disease in the United States","author":"United States Renal Data System","year":"2023"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad281"},{"key":"e_1_2_11_5_1","volume-title":"Study Analysis of the Occurrence of Protein Energy Consumption and Riskfactors in Patients Receiving Initial Peritoneal Dialysis and Hemodialysis","author":"Huang J.","year":"2023"},{"issue":"13","key":"e_1_2_11_6_1","first-page":"1650","article-title":"Summary of the Best Evidence for the Xerostomia and Thirst Management in Maintenance Hemodialysis Patients","volume":"59","author":"Liu P. C.","year":"2024","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.11.024"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-024-02239-6"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000491014"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4314\/gmj.v52i1.5"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020401"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-05312-8"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-023-03556-7"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1410252"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2022.2077761"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-022-03051-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1105334"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-025-04044-z"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.37526\/1526-744X.2022.49.4.313"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcli.2020.12.006"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2022.34.2.168"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07816-7"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-022-09971-w"},{"issue":"3","key":"e_1_2_11_24_1","first-page":"113","article-title":"Peer Support Programs in the Fields of Medicine and Nursing: A Systematic Search and Narrative Review","volume":"12","author":"Pereira L.","year":"2021","journal-title":"Canadian Medical Education Journal"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796024000854"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.5339\/qmj.2024.12"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/15572"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2019.06.013"},{"issue":"10","key":"e_1_2_11_29_1","article-title":"Peer Support for Patients With Heart Failure: A Systematic Review and Meta\u2010Analysis","volume":"15","author":"Nakao S.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2021090"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmac004"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0318124"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2023.111379"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2024.07.007"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-23-00268"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1536867X0400400204"},{"key":"e_1_2_11_41_1","volume-title":"Study on Intervention Effect of WeChat Peer Education on Fluid Intake of Maintenance Hemodialysis Patients","author":"Dang X.","year":"2021"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v10i2.26502"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.66321"},{"issue":"29","key":"e_1_2_11_44_1","first-page":"4010","article-title":"The Impact of Peer Health Education Model on Dry Body Weight, Self\u2010Management Ability, and Quality of Life in Patients With Maintenance Hemodialysis","volume":"18","author":"Liu C.","year":"2020","journal-title":"Chinese General Practice Nursing"},{"issue":"1","key":"e_1_2_11_45_1","first-page":"29","article-title":"The Impact of Peer Support\u2010Led Social Support on Self\u2010Management Behavior and Quality of Life in Patients With Maintenance Hemodialysis","volume":"24","author":"Jin M.","year":"2021","journal-title":"Chinese General Practice"},{"issue":"19","key":"e_1_2_11_46_1","first-page":"41","article-title":"The Impact of Peer Support Nursing on Cognitive Function and Quality of Life in Patients With Chronic Renal Failure Undergoing Maintenance Hemodialysis","volume":"25","author":"Yan X.","year":"2019","journal-title":"Journal of Qilu Nursing"},{"issue":"1","key":"e_1_2_11_47_1","first-page":"176","article-title":"Influence of Peer Support Intervention on Maintenance Hemodialysis Patients","volume":"38","author":"Liang L.","year":"2024","journal-title":"Chinese Nursing Research"},{"key":"e_1_2_11_48_1","volume-title":"The Influence of Peer Education on Self\u2010Management Behavior of Hemodialysis Patients","author":"Zhang S.","year":"2018"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1159\/000514477"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.15171\/jrip.2017.48"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S247128"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S240756"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2022.07.017"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-29042-8_3"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-05992-w"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-022-00677-8"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-020-00370-x"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T09:31:05Z","timestamp":1775813465000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,6]]},"references-count":56,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/hdi.70044"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70044","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,6]]},"assertion":[{"value":"2025-07-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}