ผลของโปรแกรมการฝึกอบรมโดยทีมสหสาขาวิชาชีพต่อความรู้และการปฏิบัติตัวของผู้ป่วยและผู้ดูแลในการป้องกันการติดเชื้อในผู้ป่วยล้างไตทางช่องท้องโรงพยาบาลชัยนาทนเรนทร

Abstract

This quasi-experimental research was designed to study the effect of training program by multidisciplinary team on knowledge and practice of patients and caregivers for infection prevention in peritoneal dialysis patients, incidence of infections associated with peritoneal dialysis and drug therapy problems in continuous ambulatory peritoneal dialysis (CAPD). The study samples were 64 CAPD who received Jainad Narendra Hospital inclusion criteria, the experimental group received training program by multidisciplinary team on knowledge and practice for infection. The control group received usual care for 12 weeks in research. The instruments used were demographic questionnaire, Self-care knowledge questionnaire for CAPD, Self-assessment form for the practice of peritoneal dialysis procedure to prevent infection, Poster 5 steps don't forget to prevent infection from peritoneal dialysis. Participatory training equipment, including video viewing, images, and modeling or aprons in training, phone calls and review of infection prevention. Data were analyzed using descriptive statistics and inferential statistics.

The study results revealed that the mean score of knowledge related to infection prevention in CAPD patients after receiving a training program by a multidisciplinary team were higher than the control group. Statistical significance (p < 0.001). The mean score of correct practice related to infection prevention in CAPD patients after receiving the training program by the multidisciplinary team were higher than the control group. Statistical significance (p < 0.001). Drug therapy problems in CAPD patients after receiving training programs by multidisciplinary team experimental group lower than the control group. There were 1 infections in experimental group and 3 infections in the control group. The comparison of incidence of infections associated with peritoneal dialysis in the control and experimental groups did not difference significantly (p = 0.615).

The study findings show that the training program by multidisciplinary team on knowledge and practice of patients and caregivers in the prevention of infections in CAPD patients. Able to increase knowledge related to correct practice of patients and caregivers, reduce drug therapy problems, resulting in a reduction of the incidence of infection. It should be applied to decrease infection rates in CAPD patients.