- 期刊
Impact of an Automated Night Exchange System on Dialysis Efficiency and Lifestyle in Peritoneal Dialysis Patients
夜間自動腹膜換液機對腹膜透析病人透析效果及生活品質之影響
摘要
Background: Traditional continuous ambulatory peritoneal dialysis (CAPD) is an effective replacement therapy for end-sage renal disease patients. Decreased manual exchange times and enhanced quality of life have been emphasized since automated exchange systems developed. The Quantum peritoneal dialysis (PD) night exchange system was designed to shift one convenient than CAPO for the patient. Methods: To evaluate the impact of the Quantum PD system on patients, we prospectively conducted the study with 16 CAPD patients. The patients used the new system for 4 months, and then were given a questionnaire to evaluate the machine. Associated clinical laboratory data for all patients were checked before use and 4 months after. Results: Out of the 16 patients, nine of them (six men and three women, age 38 ±13years) used the machine for more than 4 months and completed the questionnaires. There was no significant difference between pre-use and post-use of the Quantum PD system in KT/V urea, weekly creatinine c1earance, hemoglobin, serum BUN, creatinine, albumin, calcium, or phosphate. The noted advantage of using the Quantum PD system was an improvement in lifestyle (P＜ 0.05), although no improvement in feeling healthy. The reported disadvantages included uncomfortable sleep due to machine noise and tube vibration during exchange (P＜0.05). The leading cause of drop-out for 7 patients was machine noise. Conclusions: The Quantum PD night exchange system can improve quality of life without change in PD efficiency. Machine noise can affect the quality of sleep and therefore should be improved.
並列摘要
Background: Traditional continuous ambulatory peritoneal dialysis (CAPD) is an effective replacement therapy for end-sage renal disease patients. Decreased manual exchange times and enhanced quality of life have been emphasized since automated exchange systems developed. The Quantum peritoneal dialysis (PD) night exchange system was designed to shift one convenient than CAPO for the patient. Methods: To evaluate the impact of the Quantum PD system on patients, we prospectively conducted the study with 16 CAPD patients. The patients used the new system for 4 months, and then were given a questionnaire to evaluate the machine. Associated clinical laboratory data for all patients were checked before use and 4 months after. Results: Out of the 16 patients, nine of them (six men and three women, age 38 ±13years) used the machine for more than 4 months and completed the questionnaires. There was no significant difference between pre-use and post-use of the Quantum PD system in KT/V urea, weekly creatinine c1earance, hemoglobin, serum BUN, creatinine, albumin, calcium, or phosphate. The noted advantage of using the Quantum PD system was an improvement in lifestyle (P＜ 0.05), although no improvement in feeling healthy. The reported disadvantages included uncomfortable sleep due to machine noise and tube vibration during exchange (P＜0.05). The leading cause of drop-out for 7 patients was machine noise. Conclusions: The Quantum PD night exchange system can improve quality of life without change in PD efficiency. Machine noise can affect the quality of sleep and therefore should be improved.
延伸閱讀
- 邱炳芳（2016）。腹膜透析患者初始血清白蛋白的變化及趨勢影響患者存活之探討〔博士論文，中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-1508201622154400
- 林鳳如、吳明儒、陳呈旭、翁碩駿（2019）。腹膜透析患者併作血液透析成效探討。腎臟與透析，31(1)，42-47。https://doi.org/10.6340/KD.201903_31(1).0010
- 林慧婷、吳麗敏、吳佩珍、吳美容（2013）。提昇某院腹膜透析病人自我照顧能力之專案。新臺北護理期刊，15(2)，83-94。https://doi.org/10.6540/NTJN.2013.2.008
- Chang, B. Y., Mau, L. W., Hwang, S. J., Hwang, S. J., Chien, L. C., Hwang, L. L., & Tsai, C. Y. (2000). 透析患者之生活品質測量：比較血液透析及腹膜透析病患. Acta Nephrologica, 14(4), 307-307. https://www.airitilibrary.com/Article/Detail?DocID=10131671-200010-14-4-307-307-o
- 黃惠紅、王曼蒂、邱政元（2008）。腹膜透析患者生活品質及其相關因素之探討。榮總護理，25(4)，306-314。https://doi.org/10.6142/VGHN.25.4.306