The effects of program to prevent peritoneal infection in peritoneal dialysis patients in Sukhothai Hospital.

Abstract

ABSTRACT

          The Effects of an Educational Program to Prevent Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients at Sukhothai Hospital This quasi-experimental study aimed to examine the effectiveness of an educational program to prevent peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients at Sukhothai Hospital, Sukhothai Province. The sample consisted of 34 end-stage renal disease patients who had been receiving peritoneal dialysis for more than one year. The intervention tool was an educational program developed based on Bandura's Self-Efficacy Theory, implemented over 6 weeks and comprising four main activities: baseline knowledge assessment, education through lectures with demonstration and return demonstration, provision of supporting media and documents, and follow-up via telephone/LINE application. Data collection instruments included a knowledge test, a self-care practice skills assessment form, and a peritonitis incidence tracking record. Data were analyzed using descriptive statistics, paired t-test, and McNemar test.

          The results showed that after the intervention, patients' knowledge scores increased significantly from 10.15±2.34 to 15.62±1.18 (t=15.82, p<.001). Self-care practice skills scores increased from 42.18±6.85 to 58.26±3.42 (t=18.73, p<.001). The incidence of peritonitis decreased significantly from 23.5% to 2.9% (χ²=6.13, p=.013). The findings demonstrated that the educational program based on Bandura's Self-Efficacy Theory was highly effective in enhancing knowledge, self-care practice skills, and reducing the incidence of peritonitis in CAPD patients.