Peritoneal Dialysis

Worsey, Linsey

doi:10.1002/9781119413172.ch9

Cited by 4 publications

(7 citation statements)

References 47 publications

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“…Participants in the current study reported that their PD hygiene practices helped to prevent peritonitis. Adhering to measures aiming to prevent peritonitis is an important aspect of managing PD at home (Worsey, 2019). However, adherence can be difficult to monitor due to the complexity of PD, the location of the treatment and determining how to assess whether patients adhere to treatment (McCarthy et al, 2010), with a systematic review estimating non‐adherence to be 2.6%−85% for various aspects of PD management (Griva et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…While peritonitis can be caused by nonmodifiable factors including bacteraemia, and bowel and gynaecological flora, the most common cause of peritonitis is touch contamination (Salzer, 2018). Therefore, measures to reduce the risk of contamination are vital to safely manage PD at home (Worsey, 2019). Peritonitis requires urgent assessment from the PD team (Salzer, 2018); thus it is crucial that patients and relatives can identify signs/symptoms of peritonitis and seek prompt healthcare.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of peritonitis risk, prevention, diagnosis and stigma: Findings from a mixed methods study with patients and relatives using peritoneal dialysis

Baillie

Gill

Courtenay

2023

Journal of Renal Care

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Background: Peritonitis is the main treatment-related complication of peritoneal dialysis and a primary concern for patients and their relatives. Therefore, understanding their perceptions of peritonitis is important.Objectives: To explore patients' and relatives' perceptions of peritoneal dialysisassociated peritonitis risk, prevention measures and experiences of diagnosis, and experience of perceived stigma.Design: A sequential mixed methods study design was used, including a questionnaire and semi-structured interviews.Participants: Patients using peritoneal dialysis and relatives (n = 75) from six National Health Service organisations from the United Kingdom.Measurements: A structured questionnaire was administered with patients and relatives (n = 75) using peritoneal dialysis; data were analysed using descriptive statistics. Thirty questionnaire respondents were then purposively sampled and interviewed in-depth; data were analysed thematically. Data were collected 2017−2018. Ethical and governance approvals were gained.Results: Qualitative and quantitative analyses were integrated and three themes presented:• Perceptions of risk: participants assessed their risk of developing peritonitis and possible implications on their health and relatives. Participants felt greatly responsible for preventing infection.• Preventing peritonitis: participants reported similar and some differing measures to minimise their risk of developing peritonitis. Participants wanted to be seen as "clean".• Diagnosis of peritonitis: peritonitis diagnosis was embarrassing and stigmatising for many individuals. This was influenced by the response of healthcare professionals and the cause of peritonitis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceptions of peritonitis risk, prevention, diagnosis and stigma: Findings from a mixed methods study with patients and relatives using peritoneal dialysis

Baillie

Gill

Courtenay

2023

Journal of Renal Care

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show abstract

“…National Institute for Health and Care Excellence (2018) guidelines highlight the impact of both PD and haemodialysis on an individual's life and recommend patients are supported to make an informed dialysis decision. While peritoneal dialysis is a life‐sustaining treatment, complications can include raised intra‐abdominal pressure (increasing the risk of hernias), obstruction of the catheter, rarely encapsulating peritoneal sclerosis (fibrosis of the peritoneum leading to bowel obstruction) and infection of the catheter exit site and peritoneum (Worsey, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…However, patients with cloudy effluent should be presumed to have peritonitis and treated accordingly until a diagnosis is established (Li et al, 2016). Peritonitis can be caused by modifiable (skin or environmental contamination, catheter‐related) and non‐modifiable (bowel or gynaecological flora, or bacteraemia) factors, and steps to prevent peritonitis are, therefore, vital (Worsey, 2019).…”

Section: Introductionmentioning

confidence: 99%