Effects of Coaching on Practices of Continuous Ambulatory Peritoneal Dialysis Patients in Prevention of Infection Song, Phrae

Abstract

Background:    The major complications in peritoneal dialysis are peritonitis and exit site infection. These complications cause the increasing of cost and hospitalization. Moreover, the peritonitis is a leading cause of death. However, this bacterial peritonitis can be prevented and controlled by the education and practices training in both continuous ambulatory peritoneal dialysis (CAPD) patients and caregivers.

Objective:       To compare the score on practices of CAPD patients in prevention of infection Song, Phrae before and after coaching.

Study design:   This study was a quasi–experimental research, one group pretest-posttest design. The sample group were 28 CAPD patients who live in Song
district, Phrae between the 1^st October 2019-30^th September 2020. The research instruments included a questionnaire, a coaching plan, an infection control manual and a hand washing poster. The data were collected using a recording questionnaire form and a practice observation form. The data were analyzed by descriptive statistic and paired t-test.

Results:           The study results revealed that the sample group were women 53.57%, mean of age were 53.86 years, had comorbidity of diabetes and hypertension 53.57%, duration of CAPD were 3.18 years by average. The mean of total score on practice of CAPD patients in prevention of infection before coaching were 7.25 and after coaching were 11.92.  After coaching, the sample group got a higher than before coaching about practice of prevention of infection scores significantly (t=13.122, p=0.000), the score of place on peritoneal dialysis were low.

Conclusions:    The study showed the CAPD patients who got a coaching had more an infection prevention skill. The findings of this study suggest that coaching should be promoted for applying in other diseases which patients will get higher self-care skills.

Key words:      coaching, continuous ambulatory peritoneal dialysis, prevention of Infection