[Education in peritoneal dialysis].
Successful treatment with peritoneal dialysis (PD) depends in great degree on good training of a patient or her/his assistant by properly educated medical staff. The presented paper focuses on rules concerning education of nurses and patients in the field of PD. It includes purposes and program of education, a choice of place and duration of training as well as methods of checking of education effectiveness. Education of nurses has to be complex, because they should be able to work not only in a hospital under direct supervision of a nephrologist, but also relatively selfish. Attention is paid for having printed descriptions of all PD procedures always available in educating unit and for avoiding the performance of PD procedures in patients by nurses still in training (nurses should do exercises on manikins until they obtain perfect performance of PD procedures). Main principles of patient' education include training by one nurse, action on various forms of perception (written information, pictures, oral communication, touching), using methods the best fitting to individual patient' ability (for example, elimination of written materials in patients, who have troubles with reading). All procedures, in which patients are trained, should be available for them in written form and/or pictures. Effects of the education quality should be periodically checked. Evaluation of the education quality is based on results of PD treatment and includes: 1) peritonitis and exit site infection rates, 2) frequency of unplanned admissions to hospital and visits in ambulatory health care, 3) costs of treatment of PD complications.
Grzegorzewska
Alicja E
AE
Department of Nephrology, Transplantology and Internal Diseases, Medical University of Poznan, Poland. alicja_grzegorzewska@yahoo.com
D006801:Humans; D010353:Patient Education as Topic / Q000379:methods* / Q000458:organization & administration*; D010530:Peritoneal Dialysis / Q000379:methods* / Q000451:nursing*; D011044:Poland; D016730:Program Development; D015397:Program Evaluation; D012648:Self Care / Q000379:methods*