The Effects of a Family Engagement Program on Infection Prevention Behaviors in Patients with Chronic Kidney Disease Undergoing Peritoneal Dialysis
Keywords:
Family Engagement, Infection Prevention Behaviors, Peritoneal DialysisAbstract
This study was a quasi-experimental one-group pretest-posttest design. The objective was to examine the effect of a family engagement program on infection prevention behaviors among patients with chronic kidney disease undergoing peritoneal dialysis. The sample consisted of 23 patients receiving peritoneal dialysis, selected through purposive sampling. The research instrument was a family engagement program based on the collaborative care concept by Seburn. Data were analyzed using descriptive statistics, paired t-test, and Wilcoxon signed-rank test.
The results showed that after implementing the family engagement program, the experimental group demonstrated a statistically significant increase in the mean score of family participation (p= 0.002). However, there was no significant difference in overall infection prevention behavior scores before and after the program. Nevertheless, significant improvements were observed in specific areas: peritoneal dialysis fluid exchange (p = 0.005), wound cleanliness care (p < 0.001), environmental hygiene (p= 0.001), and personal hygiene care (p= 0.014), respectively.
Therefore, the family engagement program should be applied in hospital dialysis units and sub-district health promoting hospitals within the network to promote family involvement in the care of patients with chronic kidney disease undergoing peritoneal dialysis. This would help enhance patients’ self-care behaviors for effective and continuous infection prevention.
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