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The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care
Thesis (MNur)--Stellenbosch University, 2025.
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613983022776320 |
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| access_status_str | Open Access |
| author | Jonck, Charon |
| author2 | Jordan, Portia |
| author_browse | Jonck, Charon Jordan, Portia |
| author_facet | Jordan, Portia Jonck, Charon |
| author_sort | Jonck, Charon |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (MNur)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/132552 |
| institution | Stellenbosch University (South Africa) |
| last_indexed | 2026-06-10T12:44:48.111Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/132552 The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care Jonck, Charon Jordan, Portia Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing and Midwifery. Peritoneal dialysis Systematic reviews (Medical research) Chronic renal failure -- Treatment Catheterization -- Complications UCTD Thesis (MNur)--Stellenbosch University, 2025. Jonck, C. 2025. The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/a12e9f75-0e0f-413e-8180-8ac1dd84ca2c ENGLISH SUMMARY: Introduction and background: Catheter-related infections are significant complications for patients undergoing peritoneal dialysis (PD), particularly catheter exit site infections. These infections are a critical concern for PD patients, increasing the risk of further tunnel infections and peritonitis. Exit site care should be performed using the correct techniques and self-care practices, and both patients and caregivers should follow infection control principles. Understanding the perceptions of PD patients and caregivers on catheter exit site care and infections can provide insights into their knowledge, practices, potential barriers and factors affecting the overall management of the exit site. Methods: This study employed an exploratory-descriptive, qualitative research design to explore the perceptions of PD patients and their caregivers. It was conducted in a PD unit at a military hospital in Taif, Saudi Arabia. A purposive sampling method was used, and the study included nine PD patients and five caregivers. Data were gathered through semi-structured interviews guided by an interview schedule, with thematic analysis applied to interpret the narrative data. The Health Research Ethics Committee of Stellenbosch University granted ethical approval, and permission was obtained from the research committee at the selected institution. The study followed principles of trustworthiness and adhered to ethical standards. Results: The data revealed four main themes and subthemes. Participants shared similar views on exit site care and infection management, demonstrating familiarity with the correct exit site care procedures. Although they understood what constitutes best practices, various barriers were identified, preventing consistent adherence to exit site care. Identified barriers included routine fatigue, personal responsibilities, and limited access to medical supplies. The findings suggest that addressing these challenges and finding solutions to overcome them may encourage participants to follow recommended exit site care practices, ultimately preventing infections. Conclusion: In promoting effective exit site care practices, it is necessary to maintain a healthy exit site to reduce infection rates among PD patients. Strategies should be created to help patients and caregivers overcome the barriers. AFRIKAANSE OPSOMMING: Inleiding en probleem stelling: Kateterverwante infeksies is ’n beduidende komplikasie vir pasiente wat peritoneale dialise (PD) ontvang, veral kateter uitgangspunt infeksies. Hierdie infeksies is ’n kritieke bekommernis vir PD-pasiente, aangesien dit die risiko verhoog vir verdere tonnelinfeksies en peritonitis. Versorging van die uitgangspunt moet uitgevoer word deur die korrekte tegnieke, selfversorgings praktyke en infeksiebeheer beginsels te gebruik, deur beide pasiente en versorgers. Deur die sienings van PD-pasiente en hul versorgers oor kateter uitgangspunt versorging en infeksies te verstaan, kan moontlike hindernisse om aanbevole sorg praktyke te volg, geidentifiseer word, wat insig bied in die algehele bestuur van die kateter uitgangspunt. Metode: Hierdie studie het 'n verkennende beskrywende kwalitatiewe navorsingsontwerp gebruik om die persepsies van PD-pasiente en hul versorgers te ondersoek. Die studie was in 'n PD-eenheid by 'n militere hospitaal in Taif, Saoedi-Arabie, uitgevoer. Doelgerigte steekproefneming metode was gebruik, insluitend nege PD-pasiente en vyf versorgers. Data was ingesamel deur middel van semi gestruktureerde onderhoude gelei deur 'n onderhoud skedule, met tematiese analise wat toegepas is om die narratiewe data te interpreteer. Etiese goedkeuring is deur die Gesondheids Navorsingsetiek Komitee van die Universiteit van Stellenbosch verleen, en toestemming is verkry van die navorsings komitee by die gekose instelling. Die studie het beginsels van betroubaarheid gevolg en aan etiese standaarde voldoen. Resultate: Die data het vier hooftemas en subtemas aan die lig gebring. Deelnemers het soortgelyke sienings gedeel oor die versorging van die kateter uitgangspunt en die bestuur van infeksies, wat daarop dui dat hulle goed vertroud is met die korrekte prosedures vir kateter uitgangspunt versorging. Alhoewel hulle verstaan het wat as beste praktyke uitmaak, is verskeie struikelblokke geidentifiseer wat konsekwente nakoming van versorging van die uitgangspunt verhinder het. Geidentifiseerde hindernisse het roetine-moegheid, persoonlike verantwoordelik-hede en beperkte toegang tot mediese voorrade ingesluit. Die bevindinge dui daarop dat die aanspreek van hierdie uitdagings en die vind van oplossings om dit te oorkom, deelnemers kan aanmoedig om aanbevole versorgings praktyke van die uitgangspunt te volg, wat uiteindelik infeksies voorkom. Slotsom: Om doeltreffende uitgangspunt versorgings praktyke te bevorder, 'n gesonde uitgangspunt te handhaaf en infeksie syfers onder PD-pasieente te verminder, moet strategiee geskep word om pasiente en versorgers te help om die struikelblokke te oorkom. Masters 2025-06-11T07:17:04Z 2025-06-11T07:17:04Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/132552 Stellenbosch University xvi, 119 pages : illustrations, maps, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Peritoneal dialysis Systematic reviews (Medical research) Chronic renal failure -- Treatment Catheterization -- Complications UCTD Jonck, Charon The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title | The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title_full | The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title_fullStr | The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title_full_unstemmed | The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title_short | The perceptions of peritoneal dialsis patients and their caregivers in a military hospital in Saudi Arabia regarding exit site care |
| title_sort | perceptions of peritoneal dialsis patients and their caregivers in a military hospital in saudi arabia regarding exit site care |
| topic | Peritoneal dialysis Systematic reviews (Medical research) Chronic renal failure -- Treatment Catheterization -- Complications UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/132552 |
| work_keys_str_mv | AT jonckcharon theperceptionsofperitonealdialsispatientsandtheircaregiversinamilitaryhospitalinsaudiarabiaregardingexitsitecare AT jonckcharon perceptionsofperitonealdialsispatientsandtheircaregiversinamilitaryhospitalinsaudiarabiaregardingexitsitecare |