Effect of reinforcement education on peritoneal dialysis-related peritonitis' prevention

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Objective To explore the effect of reinforcement education on peritoneal dialysis-related peritonitis' prevention. Methods 991 patients who initiated continuous ambulatory peritoneal dialysis (CAPD) from January 2006 to December 2009 were recruited. The including standard was the duration on PD ＞ 3 months. The changing of peritoneal dialysis-related peritonitis' causes was analyzed regularly. The reinforcement education about peritoneal dialysis-related peritonitis' prevention was carried out by using training and retraining, follow-up, telephone call, leaflet,etc. Results Patients' mean age was (49.2 ± 16.1 ) ,male 56.5%,female 43.5% , Peritoneal dialysis duration 3.0 ～ 170.9 months (median 20. 1 months ), the primary renal disease was glomerulonephritis ( 59.2% ). After reinforcement education, the incidence of peritonitis was prolonging gradually ( from 57.2 patient months to 61.3 patient months). Comparing the causes of peritonitis in 2006, the proportion of dialysate connection' problems was significantly lower in 2009 ( x2 = 8. 229, P = 0. 004 ),the proportion of exit-site infection' problems was low continuously in 2009 ( ＜5% ), but the proportion of gastrointestinal problems was significantly increased ( x2 = 9. 720, P = 0. 002 ). Conclusions Reinforcement education could reduce the incidence of peritoneal dialysis-related peritonitis, especially reduce the incidence of peritonitis due to dialysate connection' problems. The prevention education about peritonitis caused by gastrointestinal problems need to be investigated further. Key words: Peritoneal dialysis; Peritonitis; Prevention; Health education