In:
Turk Nefroloji, Diyaliz ve Transplantasyon Hemsireleri Dernegi, Turk Nefroloji, Diyaliz ve Transplantasyon Hemsireleri Dernegi
Abstract:
Aim: In this study, our goal was to initiate peritoneal dialysis (PD) earlier through an
accelerated training process, conducted with strict control measures, during the COVID-19 pandemic.
Materials and Methods: This observational, cross-sectional study was conducted at the Peritoneal Dialysis Unit of Kırıkkale University Faculty of Medicine, Department of
Nephrology, with a total of eight participants, including six patients and two of their relatives. The PD training protocol recommended by the International Society of Peritoneal Dialysis
guidelines was provided to the enrolled patients and their relatives within four days. The training encompassed PD concepts, aseptic techniques, hand hygiene, mask usage, fluid
exchange procedures, actions in case of possible contamination, catheter exit site maintenance, peritonitis, leakage, exit site or tunnel infection recognition and treatment,
record-keeping, material procurement, principles of control, home visits, vacation planning, and adaptation to social life. Before commencing treatment, participants underwent both
theoretical and practical assessments. Achieving a score of 80% or higher in the theoretical test and successfully completing seven stages in the practical test was considered & quot;adequate & quot;
for education. Results: Of the patients, three (37.5%) were female, and five (62.5%) were male, with an
average age of 60.5±15.8 years. Participants received an average of 440.6±116.8 minutes of training. The shortest mean training duration was 8.8±5.8 minutes for record-keeping, while
the longest mean training duration was 220±53.5 minutes for exchange procedures. Treatment commenced between the 48th - 72nd hours with 500 mL to 750 mL of PD solution.
Gradually, at the 96th hour, the exchange volume increased to 1000-1250 mL, followed by 1500-1750 mL in the second week, and reaching 2000 mL in the third week. During follow-
up, one patient developed peritonitis, while no non-peritonitis complications occurred in any patient.
Conclusion: Urgent-start PD treatment can be initiated promptly through intensified patient/caregiver education during the pandemic period.
Type of Medium:
Online Resource
ISSN:
2147-7728
DOI:
10.47565/ndthdt.2023.74
Language:
English
Publisher:
Turk Nefroloji, Diyaliz ve Transplantasyon Hemsireleri Dernegi
Publication Date:
2023
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