The Result of Continuous Ambulatory Peritoneal Dialysis Clinic.

Abstract

Background: Due to the high admission .referral and mortality rates of end-staged renal disease (ESRD) patients in Rasisalai hospital .We have set up a Continuous Ambularory Peritoneal Dialysis (CAPD) clinic to take care of these groups of patients. The studies of the result of the process will help improving CAPD management to improved the patient’s living quality.
Objective: To study cofactors of renal failure disease, results of CAPD treatment,complications, causes of ESRD admitted to the hospital and quality of life after treated by CAPD in CAPD clinic of Rasisalaihospital,Sisaket.
Research design: Descriptive study.
Subject: End-staged renal failure stage 5 patients whom has been registered with CAPD clinic from June 1st, 2010 through January 31^st, 2012
Setting: CAPD clinic in Rasisalai Hospital, Sisaket.
Method: A group of end-staged renal failure stage 5 patients whom has been received the treatment by the CAPD from CAPD pateints’ and SF-36 records. Measurement by statistics, the frequency distribution of counts, and the mean from the result of the PD-excel program and SF-36 analysis program.
Results: CAPD patients 47 cases (male 23, female 24 cases). The youngest case is a 34 years old while the oldest is a 77 years old; the average age of the cases is 55.70 years old. Most patients hold primary school degrees. Most of the patients are farmers with a low income. There are 19 cases who have hypertension ; 13 cases who have diabetes; 5 cases who have both high blood pressure and diabetes. They received treatment with an average time of 8.47 months. 31 cases of Patients who did not have infectious peritonitisjfound effect 1 time infectious peritonitis 15 cases and effect by infectious peritonitis 2 times 1 case .Patients who need to admit for over- night at the hospital (39 episodes) caused by Infectious peritonitis are 15 episodes while due to the other causes are 14 episodes. The study found 1 patient with exit-site infection and 1 patient with tunnel infection were treated until they get well. Ultrafiltration failure and insufficient solute removal cases were found and received individual treatment. From the PD-excel evaluation; patients who got infectious peritonitis and exit-site infection are all pass the International Society Peritoneal Dialysis 2011 standard (ISDP). During treatment there were 7 patients who drop out from the program; 7 of them received another treatment -hemodialysis (HD); 4 of them because of ultrafiltration failure; 2 of them experienced mechanical complications; 1 had infectious peritonitis; 3 patients died one from Pneumonia, one from stroke and one from bladder cancer. However, overall patients who receive the treatment have a higher quality of live.
Conclusion: CAPD clinic in Rasisalai Hospital is new to the community hospital. Even though the number of patients is still low,the overall results are considered to besuccessful.However, the patient individualproblems and developing in studieddetail arerequire for better living quality of the patient.