Self-management for Preventing Peritonitis at Least 18 Months in Patients with Continuous Ambulatory Peritoneal Dialysis (CAPD)

Abstract

This qualitative descriptive research was designed to explore self-management forpreventing peritonitis at least 18 months in patients with continuous ambulatory peritoneal dialysis (CAPD). Participants were 10 chronic kidney disease patients who have had CAPD without peritonitis at least 18 months. All participants have received treatment from Prapokklao Hospital, Chanthaburi Province. Research tools consisted of the researchers, an interview guide of demographic data, an interview guide of self-management for preventing peritonitis in patients with CAPD, and a recorder. Data were collected by in-depth interview technique from January to May, 2016. Data were analyzed using frequency, percentage, mean, standard deviation, and thematic analysis.

The research results found that all participants had good individual self-management for continuous ambulatory peritoneal dialysis. These participants intended to continuously implement peritoneal dialysis procedure based on the suggestions of health care teams in terms of preparing equipment before doing peritoneal dialysis, accurately doing the procedure of peritoneal dialysis, and avoiding half-cooked food. In addition, family-management was key another factor. All participants receive family support to set up proper general environment and peritoneal dialysis room as well as prepare clean equipment for dialysis. All factors accounted for the success of self-management and the disappearance of the peritonitis for at least 18 months among patients with CAPD in this research.

This research suggested that health care providers should use this research results to develop a quality plan to prevent peritonitis for patients with CAPD in any CKD clinic. In addition, researchers should develop a questionnaire of self-management for preventing peritonitis in CAPD patients by using this research results to create items.