Gursu Meltem, Shehaj Larisa, Elcioglu Omer Celal, Kazancioglu Rumeyza
Department of Nephrology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Türkiye.
Department of Internal Medicine, Salus Hospital, Tirana, Albania.
Front Nephrol. 2023 Apr 6;3:1108030. doi: 10.3389/fneph.2023.1108030. eCollection 2023.
Peritoneal dialysis is a home based therapy for patients with advanced chronic kidney disease. This method provides adequate clearance of uremic toxins and removal of excess fluid when a proper dialysis prescription is combined with patient adherence. Peritonitis is the most frequent infectious complication among these patients and may render the continuity of the treatment. Training patients and their caregivers have prime importance to provide proper treatment and prevent complications including infectious ones. The training methods before the onset of treatment are relatively well established. However, patients may break the rules in the long term and tend to take shortcuts. So, retraining may be necessary during follow-up. There are no established guidelines to guide the retraining of PD patients yet. This review tends to summarize data in the literature about retraining programs and also proposes a structured program for this purpose.
腹膜透析是晚期慢性肾病患者的一种居家治疗方法。当合适的透析方案与患者的依从性相结合时，这种方法能充分清除尿毒症毒素并去除多余的液体。腹膜炎是这些患者中最常见的感染性并发症，可能会影响治疗的连续性。培训患者及其护理人员对于提供恰当治疗以及预防包括感染性并发症在内的各种并发症至关重要。治疗开始前的培训方法相对成熟。然而，患者长期可能会违反规定并倾向于走捷径。因此，随访期间可能需要重新培训。目前尚无既定指南指导腹膜透析患者的重新培训。本综述倾向于总结文献中有关重新培训项目的数据，并为此提出一个结构化项目。
