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The optimization of peritoneal dialysis training in long-term
Meltem Gursu1, Larisa Shehaj1,2,3, Omer Celal Elcioglu1
1Department of Nephrology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Türkiye.
Frontiers in Nephrology
|September 7, 2023
Summary
Retraining peritoneal dialysis (PD) patients is crucial for long-term treatment success and preventing complications like peritonitis. This review summarizes existing data and proposes a structured retraining program for PD patients.
Area of Science:
- Nephrology
- Internal Medicine
- Public Health
Background:
- Peritoneal dialysis (PD) is a vital home-based therapy for advanced chronic kidney disease.
- Patient adherence to PD protocols is essential for effective toxin clearance and fluid management.
- Peritonitis is a common complication that can disrupt PD treatment continuity.
Purpose of the Study:
- To review existing literature on retraining programs for PD patients.
- To propose a structured retraining program to improve long-term adherence and prevent complications.
- To address the lack of established guidelines for PD patient retraining.
Main Methods:
- Literature review of studies on PD patient retraining programs.
- Synthesis of data regarding the effectiveness of different retraining approaches.
- Development of a proposed structured retraining program based on identified needs.
Main Results:
- Current training methods for initiating PD are established.
- Long-term adherence challenges and 'shortcut-taking' behavior are common in PD patients.
- There is a recognized need for structured retraining programs, but no established guidelines exist.
Conclusions:
- Retraining PD patients is necessary to maintain treatment efficacy and prevent complications.
- A structured retraining program can enhance patient adherence and safety during long-term PD therapy.
- Further research and implementation of guidelines for retraining are recommended.
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