Skip to main content

Peritoneal Dialysis: Psychosocial Adaptations and Burnout

  • Chapter
  • First Online:
Complications in Dialysis
  • 214 Accesses

Abstract

Objectives: Peritoneal dialysis requires mental and physical adjustments. The purpose of this chapter is to describe some of the psychosocial adaptations that patients and their families may make to adjust to a regimen of peritoneal dialysis (PD) at home.

Methods: Results from several PubMed searches were reviewed to identify relevant articles. Articles were chosen that included patient perspectives, described fundamental psychological patterns, or were novel and added to the existing literature.

Results: Recent emphasis on patient perspectives was present. Several studies detailed successful patient and caregiver coping strategies.

Conclusions. A growing body of evidence suggests that high-quality PD requires attention to the psychological and physical demands of completing PD treatments at home.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Oliver M, Perl J, McQuillan R, et al. Quantifying the risk of insertion-related peritoneal dialysis catheter complications following laparoscopic placement: results from the North American PD Catheter Registry. Perit Dial Int. 2020;40(2):185–92.

    Article  PubMed  Google Scholar 

  2. Blake P. Drain pain, overfill, and how they are connected. Perit Dial Int. 2014;34:342–4.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Esagian SM, Sideris GA, Bishawi M, et al. Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis. J Nephrol. 2021;34(5):1681–96.

    Article  PubMed  Google Scholar 

  4. Sukul N, Zhao J, Fuller D, et al. Patient-reported advantages and disadvantages of peritoneal dialysis: results from the DOPPS. BMC Nephrol. 2019;20(1):116.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Oveyssi J, Manera KE, Baumgart A, et al. Patient and caregiver perspectives on burnout in peritoneal dialysis. Perit Dial Int. 2021;41(5):484–93.

    Article  PubMed  Google Scholar 

  6. Domenici A, Giuliani A. Automated peritoneal dialysis: patient perspectives and outcomes. Int J Nephrol Renovasc Dis. 2021;14:385–92.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Guney I, Solak Y, Atalay H, et al. Comparison of effects of automated peritoneal dialysis and continuous ambulatory peritoneal dialysis on health-related quality of life, sleep quality, and depression. Hemodial Int. 2010;14:515–22.

    Article  PubMed  Google Scholar 

  8. DeSilva I, Evangelidis N, Hanson CS, et al. Patient and caregiver perspectives on sleep in dialysis. J Sleep Res. 2021;30(4):e13221.

    Article  Google Scholar 

  9. Oei E, Samad N, Visser A, et al. Use of continuous glucose monitoring in patients with diabetes on peritoneal dialysis: poor correlation with HbA1c and high incidence of hypoglycaemia. Diabet Med. 2016;33(9):e17–20.

    Article  CAS  PubMed  Google Scholar 

  10. Skubala A, Zywiec J, Zelobowska K, et al. Continuous glucose monitoring system in 72-hour glucose profile assessment in patients with end-stage renal disease on maintenance continuous ambulatory peritoneal. Med Sci Monit. 2010;16(2):CR75–83.

    CAS  PubMed  Google Scholar 

  11. Salamon K, Woods J, Pau E, Huggins C. Peritoneal dialysis patients have higher prevalence of gastrointestinal symptoms than hemodialysis patients. J Ren Nutr. 2013;23(2):114–8.

    Article  PubMed  Google Scholar 

  12. Yi C, Wang X, Ye H, et al. Patient-reported gastrointestinal symptoms in patients with peritoneal dialysis: the prevalence, influence factors and association with quality of life. BMC Nephrol. 2022;23(1):99.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Duncanson E, Chur-Hansen A, Jesudason S. Psychosocial consequences of gastrointestinal symptoms and dietary changes in people receiving automated peritoneal dialysis. J Ren Care. 2019;45(1):41–50.

    Article  PubMed  Google Scholar 

  14. Brown EA, Zhao J, McCullough K, et al. Burden of kidney disease, health-related quality of life, and employment among patients receiving peritoneal dialysis and in-center hemodialysis: findings from the DOPPS program. Am J Kidney Dis. 2021;78(4):489–500.

    Article  PubMed  Google Scholar 

  15. Chan CT, Wallace E, Golper TA, et al. Exploring barriers and potential solutions in home dialysis: an NKF-KDOQI conference outcomes report. Am J Kidney Dis. 2019;73(3):363–71.

    Article  PubMed  Google Scholar 

  16. Duncanson E, Chur-Hansen A, Jesudason S. Patient perspectives of coping with automated peritoneal dialysis. Perit Dial Int. 2022;42:344–52.

    Article  PubMed  Google Scholar 

  17. Dimkovic N, Aggarwal V, Khan S, et al. Assisted peritoneal dialysis: what is it and who does it involve ? Adv Perit Dial. 2009;25:165–70.

    PubMed  Google Scholar 

  18. Hussein WF, Bennett PN, Anwaar A, et al. Implementation of a staff-assisted peritoneal dialysis program in the United States. Clin J Am Soc Nephrol. 2022;17:703–5.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Ma X, Tao M, Hu Y, et al. Clinical outcomes, quality of life, and costs evaluation of peritoneal dialysis management models in Shanghai Songjiang District: a multicenter and prospective cohort study. Ren Fail. 2021;43(1):754–65.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rachel B. Fissell .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fissell, R.B. (2023). Peritoneal Dialysis: Psychosocial Adaptations and Burnout. In: Fadem, S.Z., Moura-Neto, J.A., Golper, T.A. (eds) Complications in Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-031-44557-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-44557-6_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-44556-9

  • Online ISBN: 978-3-031-44557-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics