Yip Jeffrey Yuk Chiu
School of Health Sciences, Caritas Institute of Higher Education, Hong Kong, China.
SAGE Open Nurs. 2021 Sep 14;7:23779608211037496. doi: 10.1177/23779608211037496. eCollection 2021 Jan-Dec.
Peritonitis remains the primary cause of treatment failure among patients with end-stage kidney disease on continuous ambulatory peritoneal dialysis. However, detailed case analyses illustrating the application of current research in clinical practice remain scant. This case report aimed to elucidate the roles of dialysis nurses in a hospital setting in the management of a 62-year-old male patient with a history of kidney failure secondary to amyloidosis.
The patient was diagnosed with continuous ambulatory peritoneal dialysis-associated peritonitis.
Dialysis nurses applied evidence-based practices in the management of the patient's exit-site infection, imbalanced nutrition, and psychosocial concerns. The patient was discharged after 7 days, with a comprehensive treatment regimen, including an individualized peritoneal dialysis protocol adjusted to his daily schedules, education on self-care techniques, and continual nutritional management to prevent recurrence and improve his overall health. This case report shows that admissions for continuous ambulatory peritoneal dialysis-associated peritonitis require evidence-based nursing interventions specific to, and geared toward, each patient's prioritized health problems.
Peritonitis cases are preventable with appropriate nursing interventions that can lower the chance of treatment failure and long-term impact caused by an abrupt switch to hemodialysis. To successfully manage patients with continuous ambulatory peritoneal dialysis-associated peritonitis, dialysis nurses should appreciate the intricacies of the analyses underpinning their professional practices in promoting the patient's self-care techniques.
腹膜炎仍然是持续性非卧床腹膜透析终末期肾病患者治疗失败的主要原因。然而，详细的病例分析说明当前研究在临床实践中的应用仍然很少。本病例报告旨在阐明医院环境中透析护士在管理一名62岁继发于淀粉样变性的肾衰竭男性患者中的作用。
该患者被诊断为持续性非卧床腹膜透析相关性腹膜炎。
透析护士在管理患者的出口处感染、营养失衡和心理社会问题方面采用了循证实践。患者在7天后出院，接受了全面的治疗方案，包括根据其日常时间表调整的个性化腹膜透析方案、自我护理技术教育以及持续的营养管理，以防止复发并改善其整体健康状况。本病例报告表明，持续性非卧床腹膜透析相关性腹膜炎的入院治疗需要针对每个患者优先的健康问题进行特定的循证护理干预。
通过适当的护理干预可以预防腹膜炎病例，这些干预可以降低治疗失败的几率以及因突然转为血液透析而造成的长期影响。为了成功管理持续性非卧床腹膜透析相关性腹膜炎患者，透析护士应理解支撑其促进患者自我护理技术专业实践的分析的复杂性。
