Design And Application Of Quality Check List Of Peritoneal Dialysis Related Peritonitis Prevention

Objectives:Through designing of quality check list of peritoneal dialysis related peritonitis prevention (hereinafter referred to as the check list), Used in home peritoneal dialysis patients and urged patients to standardize operation, guiding the medical staff to identify potential risk factors in patients with peritonitis, it is aim to prevent peritonitis and improve the quality of peritoneal dialysis.Methods:1. Develop draft "Prevention of peritoneal dialysis-related peritonitis quality checklist" through literature review method and historical review of law.2. Using18experts in the field of peritoneal dialysis for two Delphi expert consultation to determine the "checklist" entry.3. From May in2013to November in2014, check list was used in our hospital outpatient follow-up of peritoneal dialysis patients. Check list includes11aspects and68items.4. According to the PD age, we divide checklist before retraining into4groups: <6months,7～12months,13～24months,≥25months. The4groups were analyzed.5. We retraining two rounds, one by one according to the verification condition. We respectively compare before and after two rounds of retraining verification table.6. The incidence of peritonitis from June in2013to February in2014was recorded, compared with the same period last year.Results:1. draft"preventing peritonitis in peritoneal dialysis-related quality checklist" contains nine level indicators,51secondary indicators.2. Delphi expert consultation by two established "checklist" final draft contains a11-level indicators,68secondary indicators, respectively:personal hygiene, operating environment, product quality, process, export and tunnel, pipe protection, operator, infection, nutritional status, found problems in a timely manner, Check frequency and retraining.3. Delphi expert advice reliability analysis:The response rate was:88.89%,93.75%, indicating that the experts of the research is highly motivated; expert groups authority coefficients were:0.82,0.81, results show that the expert group has good authority; coefficient of variation from0to19.92%, indicating that the views of the expert group on indicators assignment consistency. The coordination coefficient of two rounds of expert consultation of level indicators and two indicators are respectively0.644,0.591,0.334,0.531, the chisquare test P value of less than0.05.It’s statistical significance. That group of experts unanimously coordination importance to index assignment views on.4. In addition to the first group with the third group (P=0.04), the first group with the fourth group (P=0.00), which were significant difference between the two, there were no significant differences between the two (P>0.05). The unqualified rate, between the4groups were not statistically different. 5. The first round of retraining had statistical significance in patients before and after (P<0.05). The second round of retraining had no statistical significance.(P>0.05).6. For application checklist, incidence rate of peritonitis from June in2013to February in2014fall for95.19±23.99patient months comparison of86.48±28.48patient months in the same period last yearConclusions:1. Constructed in this study,"Prevention of peritoneal dialysis-related peritonitis quality checklist" is appropriate, scientific and complete.2. The "checklist" is one of an effective means of operation compliance for home peritoneal dialysis patients, but also one of tools to carry out and evaluation retraining for peritoneal dialysis nurse.3. Application of prevention of peritoneal dialysis related peritonitis quality check list, help to improve the compliance of patients, reduce the incidence of peritoneal dialysis related peritonitis.