Control of infection of clients with continuous ambulatory peritoneal dialysis (CAPD) in the community.

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) is beneficial for clients with End Stage Renal Disease (ERSD) and promises self-care (McLaughlin et al, 2008). This method allows clients to be independent persons leading a normal life, but it must also include the tacit assistance of professional health carers who monitor and guide with the relevant information and education (Lubkin & Larsen 2005). The purpose of this study is to explore measures taken by clients with CAPD in order to control infection in the community. Orem's (1985) model of self-care guided the study. In this small-scale descriptive exploratory study, a semi-structured, face-to-face interview method was used. Open-ended questions allowed the ten respondents to express themselves freely on measures taken to control infection which may lead to peritonitis. Two themes were identified, namely hand hygiene methods and environmental factors enhancing or inhibiting control of infection. Findings suggest that great attention should be paid to hand hygiene methods in the phases pre- I post- changing of bags, and the cleanliness of the physical environment. The guidelines provided by the Renal Unit appeared to be followed by clients. Suggestions included the need for follow-up visits by specialist nurses in the community and safe environment in the community health centres. This may sustain hygienic needs, expertise at the health centres, and extended educational services in the community. Recommendations were made regarding the need to meet better the needs of clients on CAPD at the health centres and in the community. Further research is suggested to explore further ways how to improve the clients' quality of life in the community.