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Effectiveness of a day care program in supporting patients on peritoneal dialysis and their caregivers

  • Nephrology - Original Paper
  • Published:
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Abstract

Purpose

Physical inactivity and social isolation are major problems faced by peritoneal dialysis (PD) patients. Respite care is also an unmet need for their caregivers. The study aimed to evaluate the benefits of day care service for PD patients.

Method

Khoo Teck Puat Hospital collaborated with St Luke’s Eldercare (SLEC) to provide day care services for PD patients. The day care provided assistance with two PD exchanges and activities for patients to maintain health and improve social interaction. Outcome indicators included: (1) enrollment status, length of stay and peritonitis rate; (2) quality of life and mental status evaluations on patients and caregivers with the 12-item Short-Form Health Survey, Hospital Anxiety and Depression Scale and Zarit Burden Interview Short-Form 12; and (3) qualitative data collected via interviews with patients, caregivers, healthcare providers and SLEC staff.

Results

Sixty-four patients were referred, and 16 eventually participated. Mean age of participants was 67.2 (range 54–85) years. For patients who stayed >1 month (n = 9), length of stay was 205.0 days (58–428) and frequency of attendance was 2.9 (0.6–4.8) times/week. There were no peritonitis episodes while patients were in the program. Mental improvement was noticed for most patients and caregivers, but physical improvement was less obvious. Caregivers also felt less burden.

Conclusions

Day care service is effective in alleviating the burden of caregivers and beneficial to patients with relatively good functional status. However, persuading patients and their caregivers to take up the program was a challenge.

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Acknowledgments

Support

This program was supported by Tote Board Community Healthcare Fund and Alexandra Health Endowment Fund.

Contributions

Support was received from St Luke Eldercare managers and staff, healthcare providers involved in peritoneal dialysis patient care from Khoo Teck Puat Hospital, National Kidney Foundation, Baxter healthcare, Singapore General Hospital, National University Hospital, Tan Tock Seng Hospital, Henry Teo and Sia Jia Hui.

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Authors and Affiliations

  1. Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Singapore

    Zhen Li Yu, Ying-Ying Seow & Pei Shing Seow

  2. Saint Luke’s Eldercare Centres, Singapore, Singapore

    Ban Leong Kenny Tan

Authors
  1. Zhen Li Yu
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  2. Ying-Ying Seow
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  3. Pei Shing Seow
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  4. Ban Leong Kenny Tan
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Corresponding author

Correspondence to Ying-Ying Seow.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Yu, Z.L., Seow, YY., Seow, P.S. et al. Effectiveness of a day care program in supporting patients on peritoneal dialysis and their caregivers. Int Urol Nephrol 48, 799–805 (2016). https://doi.org/10.1007/s11255-016-1241-z

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  • DOI: https://doi.org/10.1007/s11255-016-1241-z

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