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Perit Dial Int 27(Supplement_3): 14- 2007
© 2007 International Society for Peritoneal Dialysis
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Clinical Experience

Perceptions in Peritoneal Dialysis Training: Epidemiological Influences and Impact in Peritonitis

R.C. Abreu, E.R. Pereira, D.P. Gabriel, C.A. Caramori, P. Barretti and J.T. Caramori

Faculdade de Medicina de Botucatu, Botucatu, Sao Paulo, Brazil

Objective: Our aim was to study the influence of the epidemiological characteristics of patients under peritoneal dialysis (PD) on the definition of the dialysis procedure responsible and the training over the peritonitis-free time. Methods: We studied the epidemiological characteristics (age, gender, school degree, domicile, comorbidities, and others) and the training for the PD procedure (concepts, information and techniques taught by the same nurses) of 38 patients treated at the Dialysis Unit of the UNESP School of Medicine, Botucatu/SP, Brazil. Evaluation included both the person responsible for PD procedure, named executant (the patient or somebody else), and the time (short/medium/long) and performance (bad/regular/good) of the training procedure. The epidemiological characteristics of the patients were evaluated by the chi-square or Fisher's exact tests. The logistic regression was done considering the influence of these epidemiological characteristics over the executant and the peritonitis-free time. The survival analysis was done by the Kaplan–Meyer estimator. Results: In 29% of the cases, the patients were the PD executants, whereas in 71% of that, someone else was the executant. Epidemiological characteristics influenced the executant definition: Someone else was responsible for the PD procedure in 89% (p=0.03) of the diabetic patients, in 90% (p=0.05) of patients over 65 years old. and in 74% (p=0.07) of patients who came from other townships. On the training procedure, a medium time was achieved by 71% and a good performance by 79% of the cases. The executant, someone else, or only the patient, influenced the probability of remaining in peritonitis-free status, respectively in 78% and 54%. Training time and performance showed no influence on peritonitis-free time. Conclusions: Better training and outcome results were achieved when someone else performed dialysis technique; elderly and diabetic patients needed someone else to perform PD procedure. Peritonitis-free time was longer when someone else was executant.






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