Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： Objective To investigated when and how to retraining in peritoneal dialysis(PD) patients and its role in decreasing the incidence of peritonitis according to analysis of the characteristics of peritonitis in the PD center. Methods In a retrospective study, 2 years of data from 2019 before continuous quality improvement(CQI) and 2020 after CQI in our PD center were analyzed. According to analyzing the characteristics of peritonitis before CQI, when and how to retrain PD patients were put forward. The incidence and the characteristics of peritonitis were calculated and analyzed before and after CQI. Results There were 27 episodes of peritonitis in 22 out of total 99 PD patients in 2019. Totally 17 cases with peritonitis occurred for the first time and 11 of them (64.71%) occurred in their first 6 months after PD initiate. Culture-positive was in 12 episodes (among them, 7 episodes of Coagulase-negative Staphylococcus or Staphylococcus Aureus). The whole year peritonitis rate was 1 episode every 35.2 months in 2019 before CQI. The first retraining was taken in the third month after PD initiate and redirecting their behavior was made. There were 11 episodes of peritonitis in 10 patients out of 101 patients after CQI in 2020. There were 9 episodes of peritonitis occurred for the first time and 2 of them (22.22%) occurred in their first 6 months after PD initiate. The rate of culture-positive peritonitis was increased to 63.64%. In the 7 culture-positive episodes, 3 were Staphylococcus Aureus and 4 were Escherichia coli. The whole year peritonitis rate decreased to 1 episode every 108.5 months in 2020 after CQI. Conclusion First retraining in the third month after PD initiate and redirecting their behavior to reduce the risk of peritonitis was an effective program in our PD center.
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： To analyze the potential causes of peritoneal dialysis-associated refractory peritonitis and summarize related nursing measures. The clinical treatment and nursing process of two cases of peritoneal dialysis-associated refractory peritonitis were retrospectively analyzed. The operating procedure of peritoneal dialysis was not strictly followed in these two patients with slim body type and hypoproteinemia, and treatment was delayed due to insufficient awareness about peritoneal dialysis -associated peritonitis. Anti-infective treatment was administrated for intra-abdominal and peripheral infection, and treatment was switched to hemodialysis as no obvious improvement of bacteriological examination results. The treatment environment, operation procedure, intestinal factor and awareness of disease were main factors influencing the peritoneal dialysis -associated refractory peritonitis, and efforts should be made to enhance the self-management skills of peritoneal dialysis patients.
Peer Review Status:Awaiting Review
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