Effects of re-training with home visits on knowledge and practical skills among peritoneal dialysis patients with peritonitis

Authors

  • Busabarat Yawichai Registered nurse, Chiangkham Hospital Phayao Province
  • Wanpen Boonprasert Lecturer, Faculty of Nursing Chiang Rai Rajabhat University

Keywords:

Re-training, Knowledge, Practical skill, Peritoneal dialysis, Peritonitis

Abstract

Peritonitis is a significant and common complication in peritoneal dialysis patients, re-training with home visits was required in both knowledge and practical skills in peritoneal dialysis, along with continuous monitoring at home to reduce the severity of the disease and prevent the recurrence of peritonitis. The research aimed to compare the knowledge and practical skills to prevent peritonitis before and after re-training among peritoneal dialysis patients with peritonitis. This study was a quasi-experimental research, one group pretest-posttest design. A purposive sampling group of peritoneal dialysis patients with peritonitis in 34 cases was assigned to re-training and follow-up at Chiang Kham Hospital and continuous home health care. Data were collected using questionnaires, knowledge tests, and practical skills assessment in peritoneal dialysis assessment form. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. After program completion, the scores of knowledge and practical skills were statistically significantly higher than before the re-training with home visits for continuity of care (p<.01). The study showed that re-training results increase peritoneal dialysis patients' knowledge and practical skills and continuous self-care in performing peritoneal dialysis. Therefore, continuous follow-up and application as a training model for new peritoneal dialysis patients and further training in peritoneal dialysis patients with peritonitis are recommended in other areas.

References

Cheetham, M. S., Zhao, J., McCullough, K., Fuller, D. S., Cho, Y., Krishnasamy, R., Boudville, N., Figueiredo, A. E., Ito, Y., Kanjanabuch, T., Perl, J., Piraino, B. M., Pisoni, R. L., Szeto, C. C., Teitelbaum, I., Woodrow, G., & Johnson, D. W. (2022). International peritoneal dialysis training practices and the risk of peritonitis. Nephrology Dialysis Transplantation, 37(5), 937–949. https://doi.org/10.1093/ndt/gfab298

Chuasuwan, A., & Lumpaopong, A. (Eds.). (2021). Thailand renal replacement therapy report 2020. Thai Society of Nephrology. (in Thai). https://www.nephrothai.org/wp-content/uploads/2022/06/Final-TRT-report-2020.pdf

Gursu, M., Shehaj, L., Elcioglu, O. C., & Kazancioglu, R. (2023). The optimization of peritoneal dialysis training in long-term. Frontiers in Nephrology, 3, Article 1108030. https://doi.org/10.3389/fneph.2023.1108030

Jaelani, T. R., Ibrahim, K., Jonny, J., Pratiwi, S. H., Haroen, H., Nursiswati, N., & Ramadhani, B. P. (2023). Peritoneal Dialysis Patient Training Program to Enhance Independence and Prevent Complications: A Scoping Review. International Journal of Nephrology and Renovascular Disease, 16, 207–222. https://doi.org/10.2147/IJNRD.S414447

Jirawatkul, A. (2015). Statistics for health science research. Witthayaphat

Kanjanabuch, T. (Ed.). (2018). Clinical practice guideline (CPG) for peritoneal dialysis 2017. Bangkok: Kidney Association of Thailand. (In Thai)

Kotchaseni, P. (2020). Current renal replacement therapy. Bhumibol Adulyadej Hospital. https://www.nephrothai. org/wp- content/uploads/2020/08. (In Thai)

Li, P. K.-T., Chow, K. M., Cho, Y., Fan, S., Figueiredo, A. E., Harris, T., Kanjanabuch, T., Kim, Y.-L., Madero, M., Malyszko, J., Mehrotra, R., Okpechi, I. G., Perl, J., Piraino, B., Runnegar, N., Teitelbaum, I., Wong, J. K.-W., Yu, X., & Johnson, D. W. (2022). ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment. Peritoneal Dialysis International, 42(2), 110–153. https://doi.org/10.1177/08968608221080586

López, A. S., Fano, B. L., Flórez, A. A., & Velasco, M. P. (2021). El reentrenamiento programado reduce la tasa de peritonitis en diálisis peritoneal. Nefrologia, 42(2), 219-220. https://doi.org/10.1016/j.nefro.2020.09.009

Medical record division. (2023). Summary of peritoneal dialysis patient information for 2009 –2023. Chiangkham Hospital. (in Thai)

Ministry of Public Health. (2023, August 1). Number of patients with chronic kidney disease in Health region 1. Health Data Center. https://hdcservice.moph.go.th/hdc/reports/report.php?&cat_id=e71a73a77b1474e63b71bccf727009ce&id=5d523ced4c9569123109fa6f4071d35f

Santlou, N., Sartphet, W., & Naphaarrak, Y. (2019). Sample size calculation using G*Power Program. Journal of Suvarnabhumi Institute of Technology, 5(1), 496-507. https://so04.tci-thaijo.org/index.php/svittj/article/view/181958/136948 (in Thai)

Special nursing division. (2023). Summary of peritoneal dialysis patient information for 2021 -2023. Nursing department. Chiangkham Hospital. (in Thai)

Xu, Y., Zhang, Y., Yang, B., Luo, S., Yang, Z., Johnson, D. W., & Dong, J. (2019). Prevention of peritoneal dialysis-related peritonitis by regular patient retraining via technique inspection or oral education: a randomized controlled trial. Nephrology Dialysis Transplantation, 35(4), 676–686. https://doi.org/10.1093/ndt/gfz238

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Published

2024-08-31

How to Cite

Yawichai, B., & Boonprasert, W. (2024). Effects of re-training with home visits on knowledge and practical skills among peritoneal dialysis patients with peritonitis. Journal of Nursing and Health Research, 25(2), e271048. Retrieved from https://he01.tci-thaijo.org/index.php/bcnpy/article/view/271048

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Section

บทความวิจัย(Research Articles)