Knowledge and Experiences of Peritoneal Dialysis-Associated Peritonitis
Research team: Dr Jessica Baillie, Dr Paul Gill, Professor Molly Courtenay
Main contact details: Dr Jessica Baillie, School of Healthcare Sciences, Cardiff University. BaillieJ2@cf.ac.uk
This study was funded by the Research Capacity Building Collaboration (RCBC) Wales, through a Postdoctoral Fellowship to Dr Baillie.
Peritonitis (infection of the peritoneum) is the most common complication of Peritoneal Dialysis (PD) and can result in: PD failure (Mactier 2009), antibiotics, hospitalisation, morbidity and mortality (Li et al. 2016). The UK Renal Research Strategy (2016) highlights the need to reduce PD-associated complications.
The limited literature, which is dated and mostly from outside the UK, demonstrates that patients with increased knowledge about PD and peritonitis are less likely to develop the complication (Baillie et al. 2018). Patients who experience peritonitis are more likely to be depressed, experience anxiety and have lower quality of life (Baillie et al. 2018). Peritonitis is associated with pain, guilt and confusion (Baillie and Lankshear 2015). Further research is needed to consider the impact of this serious complication on patients and their families.
The aim of this study was to: examine patients’ and families’ knowledge, understanding and experiences of PD-associated peritonitis. This study used a mixed-method approach. Patients using peritoneal dialysis and their family members were recruited from six NHS organisations in Wales and England. The following methods were used:
1. A telephone survey. A structured questionnaire was developed with input from patients, family members, renal healthcare professionals and researchers. The questionnaire explored patients’ and families’ knowledge of peritonitis and their experience of peritonitis, for example the symptoms they experienced and what treatment they received.
2. Semi-structured, recorded interviews. An interview schedule was designed using information from the questionnaire, to explore in-depth participants’ experiences of peritonitis. A sample of participants who undertook the survey were invited to take part in an interview. Interviews were conducted over the telephone or in person, with participants from each of the six NHS organisations being included.
In total, 75 individuals completed the questionnaire and 30 individuals were interviewed. The data are currently being analysed and the findings will then be reported to study participants, clinical teams and disseminated in due course.
It is crucial that patients know how to prevent peritonitis, monitor for it and are able to promptly seek help if they suspect they have the infection. This study will help to identify whether this is the case and if further interventions are required to support patients and their families to safely use PD at home.
The published research protocol can be found here: http://orca.cf.ac.uk/103145/
RCBC Wales: http://www.rcbcwales.org.uk/current-scholars/