Pan Linlin, Wang Mengjia, Yu Qiaoqin, Gao Xiaohong, Xia Yinyan, Huang Xiaohan
Department of Nursing, Kidney Disease Center, the First Affiliated Hospital, Zhejiang University School of Medicine; Institute of Nephrology, Zhejiang University, Key Laboratory of Kidney Disease Prevention and Control Technology, Zhejiang Province, Zhejiang Clinical Research Center of Kidney and Urinary System Disease, Hangzhou, China.
Kidney Disease Center, the First Affiliated Hospital, Zhejiang University School of Medicine; Institute of Nephrology, Zhejiang University, Key Laboratory of Kidney Disease Prevention and Control Technology, Zhejiang Province, Zhejiang Clinical Research Center of Kidney and Urinary System Disease, Hangzhou, China.
J Clin Nurs. 2025 Sep;34(9):3848-3856. doi: 10.1111/jocn.17600. Epub 2024 Dec 9.
This study aimed to explore the risk factors related to home-based operation management leading to the occurrence of peritoneal dialysis-associated peritonitis (PDAP).
An observational research was conducted.
A retrospective analysis was conducted among patients with maintenance peritoneal dialysis (PD) between 1 January 2019 and 31 December 2022. The patients were grouped according to the occurrence of PDAP. General characteristics and home operational data were collected and logistic regression analysis was performed to identify independent risk factors for PDAP associated with home operations. This study complied with the Appendix S1.
Of 458 PD patients included in this study, 82 were in the peritonitis group. Their average age was 53.34 ± 13.62 years, and the average dialysis vintage was 35.57 ± 32.74 months, with males accounting for 54.6%. Multivariate logistic regression analysis revealed that age; primary disease, such as diabetes mellitus; dialysis vintage; improper storage of dialysis fluid; failure to verify the quality of protective-caps with povidone-iodine; and improper handwashing were risk factors of PDAP. Daytime ambulatory PD mode was significantly negatively associated with PDAP.
Improper storage of dialysis fluid, failure to check the quality of protective-caps and improper handwashing at home are independent risk factors for PDAP caused by home-based operation management. Nurses should strengthen relevant training or retraining to address this.
These findings serve to highlight the key areas for training in PD management and aim to empower patients to effectively conduct self-management practices.
We appreciate the patient's understanding and support.
本研究旨在探讨居家操作管理中与腹膜透析相关腹膜炎（PDAP）发生相关的危险因素。
进行了一项观察性研究。
对2019年1月1日至2022年12月31日期间维持性腹膜透析（PD）患者进行回顾性分析。根据PDAP的发生情况对患者进行分组。收集一般特征和居家操作数据，并进行逻辑回归分析以确定与居家操作相关的PDAP独立危险因素。本研究符合附录S1。
本研究纳入的458例PD患者中，82例在腹膜炎组。他们的平均年龄为53.34±13.62岁，平均透析龄为35.57±32.74个月，男性占54.6%。多因素逻辑回归分析显示，年龄；原发性疾病，如糖尿病；透析龄；透析液储存不当；未用聚维酮碘验证保护帽质量；以及洗手不当是PDAP的危险因素。日间非卧床PD模式与PDAP显著负相关。
透析液储存不当、未检查保护帽质量以及居家洗手不当是居家操作管理导致PDAP的独立危险因素。护士应加强相关培训或再培训以解决此问题
这些发现有助于突出PD管理培训的关键领域，并旨在使患者能够有效地进行自我管理实践。
我们感谢患者的理解和支持。
