Abstract: PO0973
Nurse-Based Educational Interventions in Patients with Peritoneal Dialysis: A Systematic Review and Meta-Analysis
Session Information
- Peritoneal Dialysis
November 04, 2021 | Location: On-Demand, Virtual Only
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 702 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Nopsopon, Tanawin, Chulalongkorn University Faculty of Medicine, Bangkok, Thailand
- Kantagowit, Piyawat, Chulalongkorn University Faculty of Medicine, Bangkok, Thailand
- Chumsri, Chitsanucha, Chulalongkorn University Faculty of Medicine, Bangkok, Thailand
- Pongpirul, Krit, Chulalongkorn University Faculty of Medicine, Bangkok, Thailand
Group or Team Name
- Thailand PD Outcomes and Practice Patterns Study (PDOPPS) Steering Committee
Background
Peritoneal dialysis (PD) is a major renal replacement therapy modality for patients with end-stage renal disease (ESRD) worldwide. As poor patient self-care could lead to serious complications, including peritonitis, exit-site infection, technique failure, and death; several nurse-based educational interventions have been introduced. However, these interventions varied and have been supported by small-scale studies so the effectiveness of nurse-based educational interventions on clinical outcomes of PD patients have been inconclusive.
Methods
We performed a systematic search using PubMed, Embase, and CENTRAL. Selection criteria included Randomized Controlled Trials (RCTs) relevant to nurse-based education interventions in ESRD patients with PD in the English language up to February 20, 2020. The meta-analyses were conducted using a random-effects model to evaluate the summary outcomes of peritonitis, PD-related infection, mortality, transfer to hemodialysis, and quality of life (QOL).
Results
Of 7,240 potential studies, 61 theme-related abstracts were selected for further full-text articles screening against eligibility criteria. Ten studies (1,404 PD patients in seven countries) were included in the systematic review. Eight studies (1,363 PD patients in five countries) were included in the meta-analysis. Sleep QOL in the intervention group was significantly higher than control (mean difference 12.76, 95% CI 5.26–20.27). There was no difference between intervention and control groups on peritonitis, PD-related infection, transfer to hemodialysis, and overall QOL.
Conclusion
Nurse-based educational interventions could help reduce some PD complications, of which only the sleep QOL showed statistically significant improvement. High-quality evidence on the nurse-based educational interventions was limited and more RCTs are needed to provide more robust outcomes.
PD Peritonitis
Quality of Life (Sleep)