頁籤選單縮合
題 名 | Assisted Peritoneal Dialysis: Experience in a Taipei Renal Department |
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作 者 | Peng, Ching-hsiu; Lu, Jui-hua; Huang, Juling; Kuo, Ko-lin; Wu, Che-hsiung; Hung, Szu-chun; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 25:2 2011.06[民100.06] |
頁 次 | 頁50-53 |
分類號 | 415.816 |
關鍵詞 | Assisted PD; Peritoneal dialysis; Peritonitis; |
語 文 | 英文(English) |
英文摘要 | BACKGROUND: Peritoneal dialysis (PD) at home is an appropriate modality of treatment for frail elderly patients with end-stage renal disease (ESRD). However, barriers to PD therapy are also more common among the elderly. In Taiwan, families are allowed to hire foreign caregivers if their sick members need 24-hour care. Assistance provided by foreign caregivers may help overcome the barriers to self-care PD and expand the use of PD. METHODS: We describe our experience with PD assistance provided by foreign caregivers in a Taipei renal department. This is a retrospective study of 368 incident ESRD patients who started dialysis in our department between September 2006 and December 2008. The follow-up period ended on June 30, 2009. All incident dialysis patients were educated about the different dialysis modalities by an experienced PD nurse. If a patient chose PD but homecare assistance was required, then a program of assisted PD was started, which included rigorous training in PD techniques for family members or foreign caregivers as well as supervision and support. RESULTS: Among the 154 patients who chose PD, 77 were treated with assisted PD (28/77 by foreign caregivers and 49/77 by family members) and 77 were treated with self-care PD. Although PD patients assisted by foreign caregivers were significantly older (76 ± 9 years) than those assisted by family members (66 ± 12 years; P < 0.05) and self-care PD patients (55 ± 11 years; P < 0.05), they had a significantly lower peritonitis rate (1/120.1 patient-months) compared with those with family member assistance (1/39.9 patient-months, P < 0.05) and those with self-care (1/66.1 patient-months, P < 0.05). CONCLUSIONS: Assisted PD provided by foreign caregivers had a very low peritonitis rate. The availability of homecare assistance from foreign caregivers may increase the proportion of elderly patients who are eligible for PD. |
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