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Nursing contacts and outcomes in a pediatric CCPD program.
1Children and Young People's Kidney Unit, Nottingham City Hospital, NHS Trust, UK.
Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 29, 2000
Summary
A pediatric renal nursing service supports children on continuous cycling peritoneal dialysis (CCPD), aiming to reduce hospitalizations. This study highlights the nursing support provided to enhance patient care and family well-being.
Area of Science:
- Pediatric Nephrology
- Nursing Care
- Renal Replacement Therapy
Background:
- Specialist pediatric renal nursing services are crucial for bridging hospital and home care.
- Such services aim to minimize hospitalization and disruptions to children's education and family life.
- Continuous cycling peritoneal dialysis (CCPD) is a treatment option for pediatric kidney disease.
Purpose of the Study:
- To document the nursing support provided to children undergoing CCPD.
- To evaluate the impact of nursing services on hospitalization rates and family routines.
- To analyze the spectrum of care needs and outcomes for pediatric patients on CCPD.
Main Methods:
- A 3-year prospective study involving 13 children on CCPD.
- Monitoring of nursing support, home/clinic contacts, and inpatient days.
- Documentation of patient outcomes including peritonitis, transplant, and mortality.
Main Results:
- Mean CCPD duration was 14 months, with extensive home and clinic contacts.
- Nine peritonitis episodes occurred (1 per 20 patient-months); one death from cardiovascular collapse.
- Seven children received transplants with a median waiting time of 7 months.
Conclusions:
- Pediatric renal nursing services offer vital support for children on CCPD.
- Comprehensive nursing care can help reduce morbidity and hospitalization in this population.
- The study outlines evolved nursing strategies to optimize care for children and families on CCPD.