EFFECTIVENESS OF HOME VISITS TO PEDIATRIC PERITONEAL DIALYSIS PATIENTS

被引：31
作者：
Ellis, Eileen N. [1 ,2 ]
Blaszak, Christine [1 ]
Wright, Sherida [1 ]
Van Lierop, Andrea [1 ]
机构：
[1] Arkansas Childrens Hosp, Dept Nursing, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Dept Pediat, Little Rock, AR 72205 USA
来源：
PERITONEAL DIALYSIS INTERNATIONAL | 2012年 / 32卷 / 04期
关键词：
Pediatric patients; home dialysis; adherence; EXPERIENCE;
D O I：
10.3747/pdi.2010.00145
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Home visits by trained personnel to patients undergoing home dialysis are required, but little is reported about the effectiveness of such home visits. We retrospectively reviewed home visits to 22 pediatric patients undergoing continuous cycling peritoneal dialysis (PD) at home. A trained dialysis nurse completed each home visit. An average of 1.5 pertinent dialysis findings and 1 pertinent medication finding was noted for each home visit to these patients. The interdisciplinary dialysis team reviewed the home visit findings and made specific recommendations after each home visit. In addition, the training process has been enhanced to incorporate visit findings for future home PD patients. Although not statistically significant in this small number of patients, peritonitis rates declined in the 6 months after initiation of the home visit program. The average cost for a dialysis nurse to complete a home visit is less than the cost of antibiotics for 1 episode of peritonitis. Home visits are valuable for improving clinical care in pediatric patients on home PD. Perit Dial Int 2012; 32(4): 419-423
引用
收藏
页码：419 / 423
页数：5
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