An Exploratory on the Home Peritoneal Dialysis Executive Behaviors on Patients with Home Peritoneal Dialysis
| Autor: | Li-Ting Chou, 周麗婷 |
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| Rok vydání: | 1999 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 87 The purposes of this presence study were to understand the performance of dialysis techniques in which the arrangement of home environment, the executive of dialysate exchange, and the executive of exit-site care were performed daily by the home dialysis patients. The demographic backgrounds, the history and background of executive peritoneal home dialysis, infection rates, and self-efficacy on the executive home dialysis were also explored their effects on the above three home peritoneal dialysis executive behaviors. The purposive sampling method was used and 45 patients were recruited from the peritoneal dialysis center of a medical center in Taiwan. All subjects filled the Executive Home Dialysis Self-Efficacy Scale on their monthly scheduled OPD visits. All subjects were videotaped their performance of peritoneal dialysis techniques and environment prepared for the home dialysis at home by the researcher. The Home Peritoneal Dialysis Executive Behaviors Scale was used to score the executive behaviors from the videotapes. Results of the study showed that infectious complications remain the Achilles heel of peritoneal dialysis therapy and one fourth subjects had have peritoneal infections. The home environment arrangement had the highest score than the dialysate exchange technique, and the exit-site technique had the lowest score. Age and self-perceived efficacy on the executive home environment arrangement were the two factors affected the environment arrangement for home dialysis. The duration of the peritoneal dialysis and the better self-efficacy on the dialysate exchange technique affected the executive of dialysate behaviors. The self-perceived efficacy on the executive of exit-site care was the only factor affected the executive exit-site care behavior. The infection rate and three of the above home dialysis behaviors had significant related; however, the higher frequencies of infection rate of the patients have had, the lower total score of the home dialysis executive behaviors they had. In conclusion, the findings of this present study can help nursing professionals to better understand the relationships among demographic variables, therapeutic situation, infection rate, self-efficacy and home peritoneal dialysis executive behaviors on patients with home peritoneal dialysis. Further, it would advance nurse''s competence of helping patients to increase the self-efficacy, which is the key to improve the physical hygiene and home dialysis techniques, and then it may to decrease the frequency of infectious complications. Key words: peritoneal dialysis, home peritoneal dialysis executive behaviors, home dialysis techniques. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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