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KMID : 0359920070260050582
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Korean Journal of Nephrology
2007 Volume.26 No. 5 p.582 ~ p.589
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The Preventive Effects of Practical Training on the Spot for Peritoneal Dialysis Related Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients
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Lee Yong-Kook
Lee Joon-Yeop
Kim Joon-Seup
Choi Jae-Hyeuk
Kang Hyeock-Joo
Shin Sung-Joon
Tak Woo-Taek
Kim Kyung-Soo
Lee Jeong-Ho
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Abstract
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<>bPurpose : 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.
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KEYWORD
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Peritonitis, Home visits, Education
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