Chinese Journal of Blood Purification

Chinese Journal of Blood Purification ›› 2019, Vol. 18 ›› Issue (11): 795-797.doi: 10.3969/j.issn.1671-4091.2019.11.017

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Application of a medical film for exit site care in home-based peritoneal dialysis patients

  

  1. 1Division of Nephrology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
  • Received:2019-04-23 Revised:2019-08-21 Online:2019-11-12 Published:2019-10-28

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Abstract:

【Abstract】Objective To investigate the effectiveness of a medical film for exit site care in home-based peritoneal dialysis (PD) patients. Methods A total of 155 patients undergoing PD tube placement surgery at the Department of Nephrology, Zhujiang Hospital of Southern Medical University were enrolled in this study. After two weeks when sutures have been removed, a medical film was used in experimental group, and the bag for anal ostomy patients was used only during bath in control group. The satisfaction of exit site protection and the incidence of exit site infection were compared between the two groups. Results There were a higher satisfaction (92.2% vs. 67.9%, χ2=14.252, P＜0.001) and less wetness at exit site (0% vs. 37.2%, χ2=35.217, P＜0.001) in experimental group than in control group. Exit site infections was lower in experimental group than in control group but without statistical significance (3.9% vs. 10.3%, χ2=2.377, P＝0.123); it became statistically significant after adjustment of the percentage with bath frequency (χ2=5.164, P=0.023). Conclusion The use of the medical film for exit site care increased the comfort feeling and decreased the obstacle to bath and exit site infection.

Key words: Medical film, Peritoneal dialysis, Exit site infection

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