Educational Intervention for Self-Care Skills in Older Adults with Peritoneal Dialysis Treatment in Home

Wednesday, 1 August 2012

Perla Alva, BS1
María de los Ángeles Villarreal Reyna, PhD2
María Magdalena Delabra Salinas, RN2
(1)School of nursing Master Geriatric Program, Universidad Autónoma de Coahuila, Torreon Coahuila, Mexico
(2)School of Nursing, Universidad Autónoma de Coahuila, Saltillo, Coah, Mexico

Learning Objective 1: The learner will be able to explore a new strategy to help a specific part of the population, in this case a elderly.

Learning Objective 2: The learner will be able to know the importance of the needs of to help the elderly people, that is increase.


Develop of self-management skills in elderly with home peritoneal dyalisis  through nursing Educational intervention for the prevention of possible complications


We propose a quasi-experimental design with a control group and an experimental group with repeated measures .The treatment variable is an educational program of eight weeks duration.

The population of older adults will constitute the metropolitan area of ​​the city of Torreon, Coahuila, México,  the sampling was carried out by convenience through direct invitation to participatein the program.

They include adults 60 years or older, who already have 6 months in the program of  Ambulatory Peritoneal Dialysis, in the clinical of  IMSS HGZ 18, the participants must be free of diseases that affect the  performing  intervention like Depression and using anxiolytics and antidepressants that may interfere with driving safety and education program. 

The intervention was carried out through home visits in  which constitutes the set of social activities and health aimed at maintaining and improving the health status of individuals in their home and surrounding environment. 

We will be applied as well as self-care instruments , Appraisal of Self-care Agency Scale and  for detecting depression we will to apply a Yesavage Scale and to evaluate the technique of peritoneal dialysis to avoid complications we are going institutional guidelines. 

Results:  The data will be analyzed using SPSS version 19.0. The data is collected by trained personnel in the use of software and familiar with the database. To ensure data accuracy, 10% of them will be reviewed twice. Once complete the database, there will be a first general analysis using descriptive statistics such as frequencies, means and medians,were also performed distribution analysis with the Kolmogorov Smirnov. 

The data will be compared with the initial measurement in each group and between groups to determine the homogeneity of the experimental and control groups before determining the effectiveness of the intervention. In addition, bivariate correlations were performed to estimate the strength of relationships between study variables.


The management of peritoneal dialysis is characterized by excessive responsibility that takes the elderly and it is needed to develop self-management skills that can help to monitor and manage various aspects of their own treatment, including his family to carry out dialysis procedures as care of the catheter and exit site of the same, taking medication and monitoring of complications.

Peritoneal dialysis performed by trained nurses provide elderly a safe and comfortable dialysis without relying on other family members. Furthermore, low rates of infection and hospitalization in this high risk population reduce costs significantly. There is a difference between the onset of peritonitis and technique of connecting elderly patients undergoing dialysis for themselves or their families and those on dialysis assisted by nursing staff.