Effect of reinforcement education on peritoneal dialysis-related peritonitis' prevention
10.3760/cma.j.issn.1674-2907.2010.36.016
- VernacularTitle:强化健康教育在腹膜透析相关性腹膜炎预防中的作用
- Author:
Chun-Yan YI
1
;
Jian-Xiong LIN
;
Bi-Ning LIANG
;
Pei-Yi CAO
;
Xiao-Dan ZHANG
;
Li-Qiong HU
;
Xiao YANG
;
Xue-Qing YU
Author Information
1. 510080,广州,中山大学附属第一医院肾内科
- Keywords:
Peritoneal dialysis;
Peritonitis;
Prevention;
Health education
- From:
Chinese Journal of Modern Nursing
2010;16(36):4387-4390
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of reinforcement education on peritoneal dialysis-related peritonitis' prevention. Methods 991 patients who initiated continuous ambulatory peritoneal dialysis (CAPD) from January 2006 to December 2009 were recruited. The including standard was the duration on PD ＞ 3 months. The changing of peritoneal dialysis-related peritonitis' causes was analyzed regularly. The reinforcement education about peritoneal dialysis-related peritonitis' prevention was carried out by using training and retraining, follow-up, telephone call, leaflet,etc. Results Patients' mean age was (49.2 ± 16.1 ) ,male 56.5%,female 43.5% , Peritoneal dialysis duration 3.0 ～ 170.9 months (median 20. 1 months ), the primary renal disease was glomerulonephritis ( 59.2% ). After reinforcement education, the incidence of peritonitis was prolonging gradually ( from 57.2 patient months to 61.3 patient months). Comparing the causes of peritonitis in 2006, the proportion of dialysate connection' problems was significantly lower in 2009 ( x2 = 8. 229, P = 0. 004 ),the proportion of exit-site infection' problems was low continuously in 2009 ( ＜5% ), but the proportion of gastrointestinal problems was significantly increased ( x2 = 9. 720, P = 0. 002 ). Conclusions Reinforcement education could reduce the incidence of peritoneal dialysis-related peritonitis, especially reduce the incidence of peritonitis due to dialysate connection' problems. The prevention education about peritonitis caused by gastrointestinal problems need to be investigated further.
