Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability
Background Peritoneal dialysis (PD) is a home-based therapy which requires the patients or their caregivers to perform the practice. We aimed to develop a practical approach to evaluate PD practice ability of the patients and to identify berries to self-care PD.Methods A structural form was designed...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2108448 |
| _version_ | 1828427731079004160 |
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| author | Jiaying Huang Aiping Gu Na Li Yanna He Weizhen Xie Wei Fang Jiangzi Yuan Na Jiang |
| author_facet | Jiaying Huang Aiping Gu Na Li Yanna He Weizhen Xie Wei Fang Jiangzi Yuan Na Jiang |
| author_sort | Jiaying Huang |
| collection | DOAJ |
| description | Background Peritoneal dialysis (PD) is a home-based therapy which requires the patients or their caregivers to perform the practice. We aimed to develop a practical approach to evaluate PD practice ability of the patients and to identify berries to self-care PD.Methods A structural form was designed comprising measures of physical, cognitive, and operational abilities which were required to perform manual PD independently. The evaluation was jointly conducted by a PD nurse, a nephrologist and a close family member of the patient. Patients who met all the requirements were deemed as capable of performing PD independently (self-care PD) and others were deemed as needing an assistant (assisted PD).Results The evaluation form was applied in 280 prevalent PD patients and 33.9% of them were assessed as needing assisted PD, mainly due to physical (62.1%) or operational (66.3%) disabilities. The evaluation result was consistent with current dialysis status in 79.3% patients and it matched better in patients who performed PD with the help of an assistant (93.0 vs. 76.8%, p = 0.014). Patients who were evaluated as having barriers to self-care PD but still performed PD without an assistant were older and demonstrated higher prevalence of diabetic nephropathy and PD-related infection, lower education level, and lower serum albumin (p < 0.05).Conclusions The PD practice ability assessment form is useful to identify patients with barriers to self-care PD. It provides objective information to the patients and their family to choose feasible PD practice modality, self-care, or assisted PD. |
| first_indexed | 2024-12-10T17:06:53Z |
| format | Article |
| id | doaj.art-dc7af385cc33495a8300158eaf29fc8e |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-12-10T17:06:53Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-dc7af385cc33495a8300158eaf29fc8e2022-12-22T01:40:26ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492022-12-014411319132510.1080/0886022X.2022.2108448Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice abilityJiaying Huang0Aiping Gu1Na Li2Yanna He3Weizhen Xie4Wei Fang5Jiangzi Yuan6Na Jiang7Department of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai Jiaotong University, Shanghai, PR ChinaBackground Peritoneal dialysis (PD) is a home-based therapy which requires the patients or their caregivers to perform the practice. We aimed to develop a practical approach to evaluate PD practice ability of the patients and to identify berries to self-care PD.Methods A structural form was designed comprising measures of physical, cognitive, and operational abilities which were required to perform manual PD independently. The evaluation was jointly conducted by a PD nurse, a nephrologist and a close family member of the patient. Patients who met all the requirements were deemed as capable of performing PD independently (self-care PD) and others were deemed as needing an assistant (assisted PD).Results The evaluation form was applied in 280 prevalent PD patients and 33.9% of them were assessed as needing assisted PD, mainly due to physical (62.1%) or operational (66.3%) disabilities. The evaluation result was consistent with current dialysis status in 79.3% patients and it matched better in patients who performed PD with the help of an assistant (93.0 vs. 76.8%, p = 0.014). Patients who were evaluated as having barriers to self-care PD but still performed PD without an assistant were older and demonstrated higher prevalence of diabetic nephropathy and PD-related infection, lower education level, and lower serum albumin (p < 0.05).Conclusions The PD practice ability assessment form is useful to identify patients with barriers to self-care PD. It provides objective information to the patients and their family to choose feasible PD practice modality, self-care, or assisted PD.https://www.tandfonline.com/doi/10.1080/0886022X.2022.2108448Peritoneal dialysisPD practice abilityself-care PDassisted PDbarriers to self-care PD |
| spellingShingle | Jiaying Huang Aiping Gu Na Li Yanna He Weizhen Xie Wei Fang Jiangzi Yuan Na Jiang Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability Renal Failure Peritoneal dialysis PD practice ability self-care PD assisted PD barriers to self-care PD |
| title | Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability |
| title_full | Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability |
| title_fullStr | Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability |
| title_full_unstemmed | Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability |
| title_short | Self-care or assisted PD: development of a new approach to evaluate manual peritoneal dialysis practice ability |
| title_sort | self care or assisted pd development of a new approach to evaluate manual peritoneal dialysis practice ability |
| topic | Peritoneal dialysis PD practice ability self-care PD assisted PD barriers to self-care PD |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2108448 |
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