| 英文摘要 |
Peritonitis is a common complication in peritoneal dialysis patients. Severe cases of peritonitis can lead to the removal of the peritoneal dialysis tube or, in extreme circumstances, result in fatal outcomes. This not only adversely affects the patient's quality of life but also extends their hospital stay duration. In 2019, the incidence of peritonitis among peritoneal dialysis patients within the nephrology was 1.8 patients per month per 100 patients. This rate exceeded the peritonitis incidence rate of 1.7 patients per month per 100 patients as assessed by the Taiwan Society of Nephrology for Peritoneal Dialysis Visits. We identified several contributing factors to the high peritonitis rates. These included improper fluid replacement techniques, inadequate hand hygiene practices, insufficient patient knowledge regarding selfcare, a lack of appropriate health education and training resources, and deficiencies in the audit system. A series of improvement measures were implemented between June 1 and October 31, 2020. These measures included various strategies aimed at enhancing patient self-care awareness and skills. We revised health educational materials with larger fonts and foreign language translations, developed informative videos accessible via QR Code scanning, organized group health education and training sessions, and introduced informational posters to promote correct self-care practices among patients and their caregivers. The outcome was a notable reduction in the incidence of peritonitis. In the subsequent year, the rate decreased from 1.8 patients per month per 100 patients to 1.6 patients per month per 100 patients. |
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