居家訪視在腹膜透析照護的角色

The Role of Home Visiting in Peritoneal Dialysis Care

郭麗雀(Li-Chueh Kuo) ； 陳靖博(Jin-Bor Chen) ； 吳建興(Chien-Hsing Wu) ； 李建德(Chien-Te Lee)

《腎臟與透析》 29卷2期 (2017/06) Pp. 81-84

https://doi.org/10.6340/KD.2017.29(2).07

摘要

腹膜透析照護包括病人植管後由治療師所給予的教育訓練，以及病人出院後在家自行操作腹膜透析。綜合文獻可知腹膜透析相關的腹膜炎發生率與腹膜透析技術及居家透析環境有關。眾所皆知，腹膜透析病人不遵守標準換液技術及步驟或自行更改操作步驟都較容易導致腹膜炎的發生。居家訪視提供病患居家透析環境及腹膜透析技術評估，找出腹膜炎的潛在因素。腹膜透析護理師依據居家訪視的結果，並提供再訓練及衛教，以降低腹膜炎及增加病人的遵從性。由此可知，居家訪視在腹膜透析治療的重要性。

關鍵字

腹膜透析 ； 居家訪視 ； 腹膜炎

並列摘要

The care of peritoneal dialysis (PD) includes educational training after PD catheter implantation by PD nurses and PD performance by patient self after discharge. Literature review indicated there was an association of PD-related peritonitis incidence due to PD technique and home environment. It is well-recognized that PD-related peritonitis prone to develop in patients with poor compliance to standard PD technique. Home visiting provides an evaluation of home environment and PD technique. Therefore, a potential factor for peritonitis can thus be identified. PD nurses can start over training program based on the results of home visiting to reduce peritonitis and improvecompliance of patients. In conclusion, home visiting is essential for a complete PD care.

並列關鍵字

peritoneal dialysis ； home visiting ； peritonitis