The development of care model for patients undergoing continuous ambulatory peritoneal dialysis at Nongkhai Hospital.
Article Sidebar
Main Article Content
Abstract
Continuous ambulatory peritoneal dialysis (CAPD) is a lifelong treatment of end stage renal disease with common complications of peritonitis and volume overload. The CAPD care model allowing patients and nurses participating in setting goals together could contribute to good outcomes. This study aimed to develop and evaluate the CAPD care model and contained 4 phases: 1) situation analysis 2) the CAPD care model development 3) implementation and 4) evaluation. A purposive sample consisted of: 1) 30 patients getting CAPD for at least 6 months, having infection or fluid overload, 2) 30 caregivers and 3) 15 nurses. The research instrument was the CAPD care model based on King’s theory. Data were collected using peritonitis and volume overload recording form, quality of life (9 Thai), test for knowledge and skill, satisfaction and assessment of the CAPD model suitability. The quality of the study tools was tested for content validity and reliability. Data were analyzed using descriptive statistics and paired t-test.
The results revealed that the CAPD care model, Nongkhai Hospital comprised of 3 components: 1) developing nursing network 2) developing guidelines and 3) providing nursing care consistent with King’s Theory. The outcomes assessment demonstrated a decline of peritonitis and volume overload of the patients by 40.0% and 33.3% respectively. The patients’ quality of life also was quite good. In addition, the average score on the patients’ satisfaction was very high (mean = 90.5 SD = 4.26). Moreover, knowledge and skills of the caregivers and the nurses had increased significantly (p<.05 and p<.01 respectively). The developed CAPD model benefits the patients and management under limited of healthcare personnel. Therefore, it is recommended that the use of CAPD care model should be applied to the patients with other chronic diseases in both the clinic and community.
Article Details
References
[cited 2016 Dec 14]. Available from: http: //www.kdf.nhso.go.th/. Thai.
2. Liu FX, Gao X, Inglese G, Chuengsaman P, Pecoits-Filho R, Yu A. A global overview of the impact of peritoneal dialysis first or favored policies: An opinion. Perit
Dial Int. 2015;35(4):406–20.
3. Ardkhitkarn S. Self-management behavior predictors of chronic obstructive pulmonary disease in elderly patients with chronic renal failure [dissertation].
Master thesis Faculty of Nursing, Faculty of Graduate Studies, Chiang Mai University; 2012. Thai.
4. National Health Security Office.CAPD report 2019. Bangkok: NHSO.[Internet]. [cited 2019 Oct 01]. Available from: http://www.kdf.nhso.go.th. Thai.
5. Higuchi C, Ito M, Masakane I, Sakura H. Peritonitis in peritoneal dialysis patients in Japan: A 2013 retrospective questionnaire survey of Japanese Society for
Peritoneal Dialysis member institutions. Ren Replace Ther. 2016;2(1):2-12.
6. Krittapong Somboon, Siriporn Kamsa-ard. Epidemiology and treatment outcome of peritoneal dialysis (PD)-related peritonitis. Mahasarakham Hospital
Journal. 2019;16(1): 13-21. Thai.
7. Dong J, Chen Y. Impact of the bag exchange procedure on risk of peritonitis. Peritoneal Dialysis International. 2010;30:440-7.
8. Mawar S, Gupta S, Mahajan S. Non-compliance to the continuous ambulatory peritoneal dialysis procedure increases the risk of peritonitis. International
Urology and Nephrology. 2011;44:1243-9.
9. Panida Theamjanya, Chommanard Wannapornsiri, Duangporn Hynutakung. Self-care of patients who had peritonitis from continuous ambulatory peritoneal
dialysis. Journal of Nursing and Health Sciences. 2011;5(3):92-103. Thai.
10. Figueiredo AE, Bernardini J, Bowes E, et al. A syllabus for teaching peritoneal dialysis to patients and caregivers. Peritoneal Dialysis International Journal of the
International Society for Peritoneal Dialysis. 2016;36(6):592-605.
11. Siriluk Thongtong. Nursing role in supporting self-management of continuous ambulatory peritoneal dialysis patients. Journal of Health Research and
Innovation. 2018;1(1):46-57. Thai.
12. Figueiredo A, Goh BL, Jenkins S, et al. Clinical practice guidelines for peritoneal access. Peritoneal Dialysis International. 2010;30:424-9.
13. King IM. A theory for nursing: System, concepts, process. New York: Wiley Century-Crofts; 1981.
14. Rerngrit Thongyu, Duangporn Piyakong, Somluk Tepsuriyanont. The effect of the mutual goal setting nursing program on activities of daily living among
patients with stroke. Journal of Health Nursing and Health Care. 2019;37(2):103-12. Thai.
15. Jintanaporn Prasomsri. The consequence of nursing care based on The King’s theory goal attainment on food consumption behavior in chronic kidney
disease patient receiving continuous ambulatory peritonitis (dissertation); 2013. Thai.
16. Dialysis unit, Nongkhai Hospital. Patient registration; 2019. Thai.
17. Cheawchanwattana A, Manyuen S. The development of quality of life database software for use at renal disease clinics. Srinagarind Med J. 2018;33(4):359-63.
Thai.
18. Cheawchanwattana, A, Chanlertrith, D. Predictive criterion validity of a health-related quality of life 9-Thai by predicting survival rates in dialysis patients.
Journal of Nurses’ Association of Thailand, North-Eastern Division. 2012;30(2):23-33. Thai.
19. Siriluk Thongtong. Nursing role in supporting self-management of continuous ambulatory peritoneal dialysis patients. Journal of Health Research and
Innovation. 2019;1(1):46-57. Thai.
20. Sukanya Uengtrakul, Supannee Tangpukdee, Juthalak Kaewmafai. Development care services model for patients with end stage renal disease who received
the continuous ambulatory peritoneal dialysis at Roi-Et Hospital. Journal of Nursing and Health Care. 2014;32(4):49-59. Thai.
21 Mudjalin Buno-pash, Thassana Nilpha. The development of a caring model for patients with end-stage renal disease on continuous ambulatory peritoneal
dialysis by registered nurses in region 11’s health care network. Region 11 Medical Journal. 2015;29(1):1-11. Thai.
22. Nonglak Tengprawat, Lakana Sornsurin, Sunanya Phromtuang. Development of nursing care system for end stage renal disease patient with continuous
ambulatory peritoneal dialysis (CAPD). Medical journal of Srisaket Surin Burirum Hospital. 2017;30(3):135-46. Thai.
23. Kitima Setboonsrang, Prasert Prasomrak. The care model development for end stage renal disease patient who had renal replacement therapy on self-care
and quality of life in Loengnokta Crown Prince Hospital, Yasothon province. Community Health Development KKU. 2016;4(4):485-503. Thai.
24. Supaporn Youdaeng, Boontip Siritarugnsri, Wisit Prasithsirikul. The development of a care management model for patients undergoing continuous
ambulatory peritoneal dialysis at hemodialysis unit in Bamrasnaradura Infectious Disease Institute. Journal of Health Science Research. 2019;13(1): 20-30.
Thai.
25. Ranee Annapanurak, Ananya Manit. Development of nursing service system among chronickidney disease patients receiving continuous ambulatory
peritoneal dialysis by using case management concept at King Narai Hospital, Lop Buri. Thai Journal of Cardio-Thoracic Nursing. 2015;26(1):133-47. Thai.
