Peritoneal dialysis (PD) provides independence and quality of life comparable to in-center hemodialysis, but its long-term success depends on comprehensive training and sustained support. This editorial underscores the pivotal role of PD nurses as educators, partners, and motivators in empowering patients and caregivers. Beyond clinical skills, effective training must also address psychosocial stressors, as patient and caregiver burnout is an overlooked barrier to technique survival and adherence. Drawing on ISPD and NKF-KDOQI guidance, we highlight strategies such as early education, routine assessment of well-being, peer mentorship, retraining, and remote patient monitoring to foster resilience, prevent isolation, and reduce dropout. By prioritizing holistic, patient-centered training, healthcare systems can strengthen outcomes, enhance sustainability, and ensure PD remains a lifestyle-enabling therapy.
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