King M J
Dialysis Unit, Keperra Hospital, Brisbane, Australia.
Perit Dial Int. 1996;16 Suppl 1:S448-51.
Peritoneal dialysis (PD) in the Pacific is the predominant dialysis modality for home dialysis patients. Patient location, age, personal preference, and medical condition are all taken into consideration. However, with the steadily increasing number of patients on PD, financial constraints are now affecting the nurse-patient ratios. As a consequence, PD nurses are constantly seeking new and improved clinical practice regimes with which they can provide and maintain quality, cost-effective nursing care. To enable PD nurses to provide such care, they are now, more than ever, involved in patient, professional, and management issues. These patient issues include, but are not limited to: the elderly, the diabetic, the indigenous patient, and their carers, peritonitis, exit-site infection, and adequate dialysis. Professional issues include the development of standards of clinical practice, nursing research, quality improvement, and tertiary education. Management issues are constantly encroaching into the clinical practice setting, therefore the PD nurse must now justify spending, develop strategic plans, and meet annual budgets. In conclusion, it can be seen that PD nurses in the Pacific are faced with similar patient-care, professional, and management issues as their counterparts throughout the world.
在太平洋地区，腹膜透析（PD）是居家透析患者最主要的透析方式。患者的居住地点、年龄、个人偏好以及身体状况都会被纳入考虑范围。然而，随着接受腹膜透析治疗的患者数量稳步增加，经济限制如今正影响着护患比例。因此，腹膜透析护士一直在寻求新的、更完善的临床实践模式，以便能够提供并维持高质量、具成本效益的护理服务。为了让腹膜透析护士能够提供此类护理，他们现在比以往任何时候都更深入地参与到患者、专业及管理问题中。这些患者问题包括但不限于：老年人、糖尿病患者、原住民患者及其护理人员、腹膜炎、出口处感染以及充分透析。专业问题包括临床实践标准的制定、护理研究、质量改进以及高等教育。管理问题不断侵入临床实践环境，因此腹膜透析护士现在必须为支出提供正当理由、制定战略计划并实现年度预算。总之，可以看出太平洋地区的腹膜透析护士面临着与全球同行相似的患者护理、专业及管理问题。
