ASSISTED PD：Problems and Countermeasures Based on Home-Visit Nursing Station Surveys

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  • Takai Nami
    Department of Nursing, Nagoya University Hospital Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation
  • Nakabayashi Kichio
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nursing, Narita Memorial Hospital
  • Kawashima Shoichi
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nursing, Aichi Medical University Hospital
  • Mizuno Masashi
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine
  • Koide Shigehisa
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nephrology, Fujita Health University School of Medicine
  • Kasuga Hirotake
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nephrology, Nagoya Kyoritsu Hospital
  • Saka Yosuke
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nephrology, Kasugai Municipal Hospital
  • Sakai Emiko
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Health Policy Division, Health and Medical Department, Aichi Prefectural Health Bureau
  • Inaguma Daijo
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nephrology, Bantane Hospital, Fujita Health University
  • Ito Yasuhiko
    Aichi Prefecture Study Group on Renal Replacement Therapy for the Elderly, Aichi Renal Foundation Department of Nephrology and Rheumatology, Aichi Medical University

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Other Title
  • 訪問看護ステーションアンケート調査からみたassisted PDの問題点と対策
  • ホウモン カンゴ ステーションアンケート チョウサ カラ ミタ assisted PD ノ モンダイテン ト タイサク

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<p>[Objective] To investigate factors hindering the spread of assisted peritoneal dialysis (PD) to support elderly patients in Japan, a survey of PD acceptance at home nursing stations was administered. [Method] A questionnaire survey was conducted involving 616 home-visit nursing stations in Aichi Prefecture, 368 of which were registered with the Aichi Medical Association or Aichi Council of Home-Visit Nursing Stations. [Results] A total of 132 facilities were surveyed, for a collection rate of 35％. The breakdown was as follows：37 home nursing stations were accepting PD patients, 59 were considering accepting PD patients, and 20 were not considering accepting PD patients. A total of 20％ of the facilities were always involved in PD patient visits. Other facilities had only a few opportunities to see PD patients per year. The most common conditions for acceptance by visiting nurses were："medication management" and "emotional support," followed by "PD-bag exchange" and "exit site care". The most common considerations for acceptance were："preparation of APD cycler" and "monitoring the operation of APD equipment," such as preparation of APD equipment. [Conclusion] In order for home health care nurses, who are key personnel in ASSISTED PD, to be able to accept PD patients without anxiety, collaboration and multidisciplinary cooperation, such as joint visits and sharing of care methods with medical staff at PD treatment facilities, are required.</p>

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