英文摘要 |
In order to increase the new patient rates of peritoneal dialysis, this project enrolled a number of new patients from a regional hospital in central Taiwan between July 31 and December 31, 2012. The data shows that the new patient rate accounted for just 6.06% of all dialysis. Analyze of the situation found the following barriers. Firstly, patients felt peritoneal dialysis to be troublesome; secondly, patient instruction was unclear; thirdly, patients were reluctant to change dialysis modality after undergoing the urgent dialysis. To boost the new patient rate of peritoneal dialysis, the project adopted several new strategies: (1) A fixed chronic kidney disease (CKD) educator; (2) Setting up a new CKD room; (3) Creating specific tools for patient instruction; (4) Arranging for volunteers to share their experience. The new patient rate of peritoneal dialysis eventually increased significantly from 6.06% to 22.22%. The demonstrated crucial role played by the CKD educator in providing proper information on selecting the most suitable dialysis modality for each individual patient, helping patients understand the content of health education and reduce their fear of unknown medical care. |