A Multi‐centre, Randomised Trial to Assess Whether Increased Dietary Fibre Intake (Using a Fibre Supplement or High‐fibre Foods) Produces Healthy Bowel Performance and Reduces Laxative Requirement in Free Living Patients on Peritoneal Dialysis

Background: Gastrointestinal (GI) disorders in peritoneal dialysis (PD) patients are relatively understudied in the literature, even though they have a serious impact in the morbidity parameters and the quality of life for this group of patients. Various diagnostic tools have been used, including instrumental methods and questionnaires, invariably validated in comparative studies. Summary: The prevalence of GI disorders is very high in PD patients. Compared to the haemodialysis patients they present a higher prevalence of reflux, eating dysfunction, gastroesophageal reflux, intestinal obstruction or adhesions and abdominal hernia. They may be divided into Gastric disorders (Gastroesophageal reflux disease, pathological Gastric emptying, Dyspepsia, Helicobacter pylori infection, peptic ulcers) and Intestinal disorders (Peritonitis, Diverticulosis, Constipation). Key Messages: The current paper is a review of the literature involving GI disorders in PD patients. This special group of patients with a special role of the peritoneal cavity and the GI motility in the physiology of their dialysis merit a larger number of studies dealing with the interrelation of the GI tract and the PD physiological, functional and pathophysiological parameters.

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“…The consumption of fibres either with the food or in form of supplements might reduce the consumption of aggressive osmotic laxatives [37].…”

Section: Intestinal Disordersmentioning

confidence: 99%

Gastrointestinal Disorders in Peritoneal Dialysis Patients

et al. 2018

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“…, Sutton et al . ) reduced physical activity (Avesani et al . ) and commonly prescribed medications, in particular phosphate binders, are all known to disturb bowel frequency and consistency (Kurihara et al .…”

Section: Literature Reviewmentioning

confidence: 99%

Bowel health in chronic kidney disease: Patient perceptions differ from clinical definitions

Trimingham

McDonald

Dansie

et al. 2018

Journal of Renal Care

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“…Self‐management is an important aspect of effective care in chronic kidney disease patients (Lin, Liu, Hsu, & Tsai, ). As reported, the self‐management of haemodialysis patients is poor worldwide, especially in low‐ and middle‐income countries, including China (Dou, ; Sutton, Ovington, & Engel, ; Tao, Chow, & Wong, ). In China, due to personnel shortages, patients often received limited knowledge or training in self‐management.…”

Section: Introductionmentioning

confidence: 99%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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Aim To examine the effects of a transtheoretical model‐based WeChat health education programme on self‐management in haemodialysis patients in China. Design A longitudinal experimental intervention study. Methods Patients (N = 120) who underwent haemodialysis from December 2015–November 2017 were recruited and randomly allocated to either group 1 (who received a 3‐month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self‐management, knowledge and self‐efficacy were assessed at baseline (T0), 3 months after enrolment in the study (T1), 21 months after enrolment in the study (T2). Results There were significant group effects on self‐efficacy; time effects on partnership, self‐care, emotion management with total self‐management; interaction effects on problem‐solving and emotion management within total self‐management according to the two‐way repeated measures ANCOVA. Further between‐group comparisons indicated that patients in group 1 had better self‐management than those in group 2 at T1. Within‐group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self‐management at T1; however, group 2 had improved self‐management at T2. Conclusion The transtheoretical model‐based WeChat health education programme had a potentially positive effect on improving the self‐management of haemodialysis patients. Impact Self‐management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model‐based WeChat health education resulted in improved self‐management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self‐management in patients. Trial registration: ChiCTR1800018172.

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A Multi‐centre, Randomised Trial to Assess Whether Increased Dietary Fibre Intake (Using a Fibre Supplement or High‐fibre Foods) Produces Healthy Bowel Performance and Reduces Laxative Requirement in Free Living Patients on Peritoneal Dialysis

Abstract: This study has confirmed the prevalence of laxative use amongst patients on PD and shown that fibre use can confer improvements in bowel function without affecting biochemistry.

Cited by 32 publications

References 9 publications

Gastrointestinal Disorders in Peritoneal Dialysis Patients

Gastrointestinal Disorders in Peritoneal Dialysis Patients

Bowel health in chronic kidney disease: Patient perceptions differ from clinical definitions

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

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