Educational interventions and identification of risk factors to prevent and reduce peritonitis in peritoneal dialysis: A scoping review

IF 1.5 4区 医学 Q3 NURSING
Elena Fernàndez Labadía MSc, Olga Masot PhD, Lorena Lourdes Tejero Vidal PhD, Teresa Botigué PhD, Sara Bielsa-Gracia PhD
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引用次数: 0

Abstract

Background

Peritonitis is a common and serious complication of peritoneal dialysis and is one of the main causes of peritoneal dialysis technique failure and long-term hemodialysis conversion.

Objectives

The aim of the review was to identify and clarify peritonitis risk factors and learn about strategies employed at international level to prevent and reduce the occurrence of peritoneal dialysis associated infections and their complications.

Design

A scoping review.

Participants

Adults in pertitoneal dialysis.

Measurements

The methodology framework of Arksey and O'Malley and PRISMA for Scoping Reviews guidelines were applied. A search was conducted of PubMed, Scopus and CINAHL using terms to identify peritoneal dialysis -associated risk factors and interventions carried out for the prevention and reduction of peritonitis in adult persons living at home.

Results

The 17 studies selected were based on work carried out in nine different countries. Eleven articles analysed modifiable risk factors (low educational level, being a foreigner and low adherence to aseptic technique) and non-modifiable risk factors (age and comorbidities) that predispose to peritonitis in peritoneal dialysis. The other six studies applied an intervention to improve the prevalence of peritonitis considering educational practices adapted to patient characteristics and the application of retraining.

Conclusions

Personalised patient training and the identification of risk factors for peritonitis are key to reducing complications and enhancing the survival of peritoneal dialysis patients and the effectiveness of the technique.

Abstract Image

预防和减少腹膜透析中腹膜炎的教育干预和风险因素识别:范围综述。
背景:腹膜炎是腹膜透析常见的严重并发症,也是腹膜透析技术失败和长期血液透析转换的主要原因之一:综述旨在确定和阐明腹膜炎的风险因素,了解国际上为预防和减少腹膜透析相关感染及其并发症的发生而采取的策略:设计:范围界定审查:参与者:接受腹膜透析的成年人:采用Arksey和O'Malley的方法框架以及PRISMA范围界定综述指南。在PubMed、Scopus和CINAHL上进行了搜索,使用的术语包括腹膜透析相关风险因素以及为预防和减少居家成年人腹膜炎而采取的干预措施:所选的 17 项研究基于在 9 个不同国家开展的工作。其中 11 篇文章分析了腹膜透析过程中容易导致腹膜炎的可改变风险因素(教育水平低、外国人和不遵守无菌技术)和不可改变风险因素(年龄和合并症)。其他六项研究采用了干预措施,考虑到根据患者特点进行教育实践和应用再培训,以提高腹膜炎的发病率:结论:个性化的患者培训和腹膜炎风险因素的识别是减少并发症、提高腹膜透析患者存活率和腹膜透析技术有效性的关键。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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