The Preventive Effects of Practical Training on the Spot for Peritoneal Dialysis Related Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients.
- Author:
Yong Kook LEE
1
;
Joon Yeop LEE
;
Joon Seup KIM
;
Jae Hyeuk CHOI
;
Hyeock Joo KANG
;
Sung Joon SHIN
;
Woo Taek TAK
;
Kyung Soo KIM
;
Jeong Ho LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Dongguk University Medical Center. jhlee@dongguk.ac.kr
- Publication Type:Original Article
- Keywords:
Peritonitis;
Home visits;
Education
- MeSH:
Dialysis;
Education;
Hospitalization;
House Calls;
Humans;
Hygiene;
Incidence;
Infertility;
Patient Education as Topic;
Peritoneal Dialysis*;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis*;
Surveys and Questionnaires
- From:Korean Journal of Nephrology
2007;26(5):582-589
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Peritoneal dialysis related peritonitis remains one of the most common causes of hospitalization and discontinuation of peritoneal dialysis. Patient education and the individual environment play a significant role in improving the clinical outcomes. Therefore, this study focused on the preventive effects of practical training on the spot for peritoneal dialysis related peritonitis in continous ambulatory peritoneal dialysis (CAPD) patients. METHODS: Fifty-eight patients who were started on CAPD were as the primary intended treatment modality. The patients were given to a questionnaire regarding their gender, age, place of residence, level of education, economic status, sterile technique, knowledge of personal hygiene, placing a correct region for exchanging a fluid bag, and their duration of CAPD. During a home visit, the patients were instructed in how to sterilize the region of dialysis and maintain sterility in dialysis. RESULTS: Seventy four cases of peritonitis from 35 patients were identified over the 2 year's period. In the rural residences where there is a lower socio-economic status, the rates of peritonitis decreased in those patients who had received training on the spot within 6 months from the start of peritoneal dialysis compared with the patients after the 6 month period. Lower rates of peritonitis were noted in the patients who received training earlier (r=0.19, p=0.03). CONCLUSION: Ongoing and repetitive individualized education is needed to prevent peritoneal dialysis related peritonitis. The incidence of peritoneal dialysis related peritonitis can be reduced by educating these patients individually.
