Automated Peritoneal Dialysis: Patient Perspectives and Outcomes

Domenici, Alessandro; Giuliani, Anna

doi:10.2147/ijnrd.s236553

Cited by 10 publications

(8 citation statements)

References 47 publications

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“…Drain sluggishness and pain on the cycler, with alarms and sleep disturbances, have been previously reported. 19,23 Even so, clinically significant drain issues may be under appreciated. 24 In this sample, drain difficulties and pain were prevalent and problematic.…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives on peritoneal dialysis (PD) and the PD catheter: Strategies and Solutions

et al. 2023

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Introduction: Peritoneal dialysis (PD) catheter complications reduce quality of life and increase risks for hospitalizations, for unplanned transitions to haemodialysis and for death. Patient PD catheter management is crucial for safe, sustained PD. Patient perspectives on strategies for living with PD and using a PD catheter may inform efforts to reduce PD catheter complications, increase individual patient PD modality persistence, and thus increase overall home dialysis prevalence. Methods: We interviewed 32 adult PD patients in Nashville, Tennessee. Qualitative analyses included (1) isolation of themes, (2) development of a coding system and (3) creation of a conceptual framework using an inductive–deductive approach. Results: Challenges identified by patients as important included drain pain, difficulty eating and sleeping, and fear of peritonitis. Coping strategies included repositioning while draining, adjusting eating patterns, and development of PD patient and helper knowledge and confidence, especially at home after initial training. Patients described a trial-and-error iterative process of trying multiple strategies with input from multiple sources, which led to individualised solutions. Conclusions: The trial-and-error process may be crucial for maintaining PD. Individual patient success with PD may be promoted by creating expectations during training that a solution may require multiple attempts, and by a reimbursement policy that supports robust nursing support for safe progression through the trial-and-error process, particularly in the first few months for incident patients. Interventions to support patient motivation and optimal coping behaviour may also support an increase in PD modality duration for individual patients, and thus increase overall PD prevalence.

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Section: Discussionmentioning

confidence: 99%

Patient perspectives on peritoneal dialysis (PD) and the PD catheter: Strategies and Solutions

et al. 2023

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“…APD has become the prevalent mode of peritoneal dialysis in most high-income countries. 12 , 13 Previously studies showed that factors such as educational background, occupation, dialysis duration, knowledge of APD, and family support may affect that influence patients’ choosing APD. 5 In this study, we performed a cross-sectional questionnaire-based study to investigate the factors that affect the patients’ choice for APD treatment.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing the Choice of Automated Peritoneal Dialysis Treatment by Patients Receiving Home Peritoneal Dialysis

Cao,

Hong,

Ruan

et al. 2023

PPA

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Objective This study was conducted to understand the influencing factors for home peritoneal dialysis patients choosing APD and to provide a scientific basis for improving the completion rate of APD treatment and the follow-up of peritoneal dialysis patients. Methods The study was a cross-sectional questionnaire-based study. A total of 588 patients on peritoneal dialysis were randomly selected from 6 regions in Fujian Province in southern China using a stratified cluster sampling method. Results The mean age of the patients were 56.5 ± 14.73 years. In the univariate analysis, knowledge, user experience and family support were the factors that affected patients’ choice of APD (all P < 0.05) and were positively correlated with the treatment utilization rate. In the multivariate analysis, 3 factors (treatment with APD, knowledge of APD, and family support) remained significantly associated not choosing APD. The selection rate for APD was 2.594 times higher among patients who had received APD than among patients who had never received APD. The selection rate for patients with “a lot of knowledge” about APD was 10.75 times that of patients with “no knowledge”. Conclusion Patients’ knowledge of APD, experience in application and family support were the main factors affecting the choice of APD as a treatment mode ( P < 0.05) and were positively correlated with the treatment utilization rate. Further studies are needed to improve the APD treatment completion rates by modulation the above-mentioned factors. Relevance to Clinical Practice This study provides scientific evidence for improving APD treatment completion rates and improving patient quality of life.

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“…This may either occur at regular intervals throughout the day, known as Continuous Ambulatory Peritoneal Dialysis (CAPD), or at night with the assistance of a machine, known as Automated Peritoneal Dialysis (APD) (10); if initiated, PD has to be continued lifelong or till a renal transplantation is carried out. In APD, the machines can be programmed to deliver precise volumes of PD fluid in multiple cycles throughout the night as the patient sleeps, so that, the patient's daytime routine is unaffected (11).…”

Section: Introductionmentioning

confidence: 99%

Illness perception, self-esteem and self-care management of patients on continuous ambulatory peritoneal dialysis: A cross-sectional study from a Tertiary Care Hospital in South India

Annie Elizabeth,

Ilavarasi Jesudoss,

Solomon D’Cruz

2023

World J. Adv. Res. Rev.

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Background: Chronic diseases are those conditions that last for more than a year requiring ongoing medical attention and crippling the activities of daily living. End-stage kidney disease invites significant psychosocial stressors and demands routine adaptation. It challenges the patient with a constant fear of death, draining them physically and mentally, making them dependent on the healthcare team and having to follow complicated pharmacological regimes with dietary limitations. Objective: The study was intended to assess illness perception, self-esteem, and self-care management of patients on continuous ambulatory peritoneal dialysis. Methodology: Using quantitative approach, a descriptive study was undertaken for a period of six weeks in Peritoneal Dialysis unit of the Artificial Kidney Lab (AK Lab) of Christian Medical College, Vellore. A total of 63 patients were selected using total enumeration sampling technique. Data was collected using self-administered questionnaires namely Brief Illness Perception Questionnaire (B–IPQ), Current thoughts scale and Questionnaire on self-care management. Results: Most of the subject’s illness perception were moderately (42.86%) and severely affected (41.27%). On the whole, the subjects had higher self-esteem (mean = 71.49); however, the appearance self-esteem was rather low (19.67). All subjects had adequate self-care management. Conclusion: Patients undergoing CAPD perceive their illness as a threat and they have low appearance self-esteem. On the basis of this finding, formulation of guidelines for psychological management of these patients would help them to develop coping skills.

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Automated Peritoneal Dialysis: Patient Perspectives and Outcomes

Cited by 10 publications

References 47 publications

Patient perspectives on peritoneal dialysis (PD) and the PD catheter: Strategies and Solutions

Patient perspectives on peritoneal dialysis (PD) and the PD catheter: Strategies and Solutions

Factors Influencing the Choice of Automated Peritoneal Dialysis Treatment by Patients Receiving Home Peritoneal Dialysis

Illness perception, self-esteem and self-care management of patients on continuous ambulatory peritoneal dialysis: A cross-sectional study from a Tertiary Care Hospital in South India

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