Patients’ perspectives on the prevention and treatment of peritonitis in peritoneal dialysis: a semi-structured interview study

Campbell, Denise J., Craig, Jonathan C., Mudge, David W., Brown, Fiona G., Wong, Germaine and Tong, Allison (2016) Patients’ perspectives on the prevention and treatment of peritonitis in peritoneal dialysis: a semi-structured interview study. Peritoneal Dialysis International, 36 6: 631-639. doi:10.3747/pdi.2016.00075


Author Campbell, Denise J.
Craig, Jonathan C.
Mudge, David W.
Brown, Fiona G.
Wong, Germaine
Tong, Allison
Title Patients’ perspectives on the prevention and treatment of peritonitis in peritoneal dialysis: a semi-structured interview study
Journal name Peritoneal Dialysis International   Check publisher's open access policy
ISSN 1718-4304
0896-8608
Publication date 2016-11-01
Sub-type Article (original research)
DOI 10.3747/pdi.2016.00075
Open Access Status Not yet assessed
Volume 36
Issue 6
Start page 631
End page 639
Total pages 9
Place of publication Milton, ON, Canada
Publisher Multimed
Language eng
Subject 2727 Nephrology
Abstract Background: Peritoneal dialysis (PD) is recommended for adults with residual kidney function and without significant comorbidities. However, peritonitis is a serious and common complication that is associated with hospitalization, pain, catheter loss, and death. This study aims to describe the beliefs, needs, and experiences of PD patients about peritonitis, to inform the training, support, and care of these patients. ♦eMethods: Qualitative semi-structured interviews were conducted with 29 patients from 3 renal units in Australia who had previous or current experience of PD. The interviews were conducted between November 2014 and November 2015. Transcripts were analyzed thematically. ♦uResults: We identified 4 themes: constant vigilance for prevention (conscious of vulnerability, sharing responsibility with family, demanding attention to detail, ambiguity of detecting infection, ineradicable inhabitation, jeopardizing PD success); invading harm (life-threatening, wreaking internal damage, debilitating pain, losing control and dignity); incapacitating lifestyle interference (financial strain, isolation and separation, exacerbating burden on family); and exasperation with hospitalization (dread of hospital admission, exposure to infection, gruelling follow-up schedule, exposure to harm). ♦eConclusions: Patients perceived that peritonitis could threaten their health, treatment modality, and lifestyle, which motivated vigilance and attention to hygiene. They felt a loss of control due to debilitating symptoms including pain and having to be hospitalized, and they were uncertain about how to monitor for signs of peritonitis. Providing patients with education about the causes and signs of peritonitis and addressing their concerns about lifestyle impact, financial impact, hospitalization, and peritonitis-related anxieties may improve treatment satisfaction and outcomes for patients requiring PD.
Keyword Peritoneal dialysis
Peritonitis
Qualitative research
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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Created: Sat, 23 Dec 2017, 18:29:31 EST