The treatment outcome of patients receiving Continuous Ambulatory Peritoneal Dialysis (CAPD) in chronic renal failure patients in Lamphun hospital
Keywords:
การล้างไตทางช่องท้องชนิดถาวร, ภาวะเยื่อบุช่องท้องอักเสบ, ผู้ป่วยไตเรื้อรัง, การล้างไตทางช่องท้องAbstract
The purpose of this study is to access treatment outcome of patients receiving continuous ambulatory peritoneal dialysis (CAPD) in Lamphun Hospital, including cause of technical failure. This study was conducted in outpatient settings. All patients who were received insertion catheter during September, 2008 to November, 2010. Follow up had been continued until death or transfer to hemodialysis. A total of 64 patients were studied. After following up 27 (42.19%)had peritonitis that the major cause was the patients did not follow the guideline of self-care 61%.The major positive culture agent was Staphylococcus aureus 20.37%. The duration of peritonitis was 14.3 months per episode. From the total 64, 44(68.75%) had continued CAPD, 12(18.75 %) had technical failure and 4 (12.5 %) died. The major cause of technical failure was peritonitis (25%).So to improve treatment outcome of patient receiving CAPD should give education about self-care guideline and promote health awareness to the patients.
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ศูนย์ล้างไตทางช่องท้อง โรงพยาบาลบ้านแพ้ว(องค์การมหาชน), ทางเลือกสำหรับผู้ป่วยโรคไตวายเรื้อรังระยะสุดท้าย การบำบัดแทนไตด้วยการล้างไตทางช่องท้อง (CAPD), Available from http://www.bp-pd.com/capd.html. Accessed 20 November,2010.
ทวี ศิริวงศ์. บรรนาธิการ.การล้างช่องท้องชนิดถาวี ทฤษฎีและเทคนิค, พิมพ์ครั้งที่ 1, ขอนแก่น: โรงพิมพ์มหาวิทยาลัยของแก่น; 2548: 115-6.
