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| CAPD 환자 관리 |
| 이진 , 황승덕 , 이희발 |
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| Abstract |
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CAPD has been well accepted in Korea as well as in other part of the world as a maintenance therapy for endstage renal disease. CAPD allows more independence for the patients and the- refore better chance for social rehabilitation. At Soon Chun Hyang University Hospital, the train- ing program is organized to include ( 1) assess- ment of patients status, (2) management before and after catheter insertion, (3) education to master aseptic technique, (4) peritonitis protocol and (5) follow-up procedure. The patient status is assessed by obtaining detailed medical and socioeconomic history and by physical and laboratory findings. Before beginning CAPD, the patient must understand the principles, technology, advantages and disa- dvantages of CAPD. The most important part of the program is to train patients for aseptic technique during bag exchanges. Daily shower aod dressing with bet- adine around the catheter exit-site are recomme- nded to prevent peritonitis and pericatheter infection. The patients are trained to detect and treat peritonitis at home. They are instructed to contact physicians or CAPD nurses if peritonitis does not respond to treatment in 2-3days or for any other problems they may encounter during treatment at home. The patients are seen at OPD and CAPD unic once a month. Transfer set is changed once every 2 months by CAPD nurses. |
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