End-stage renal disease (ESRD) requires long-term renal replacement therapy, including hemodialysis (HD), peritoneal dialysis (PD), or kidney transplantation. As the prevalence of ESRD increases, more patients must decide which treatment modality to undertake. Studies and literature reviews addressing the effects of PD on the quality of life of patients with ESRD remain limited. This literature review aimed to examine CAPD therapy among patients with ESRD. Searches were conducted using electronic databases reported as PubMed, ProQuest, and Google Scholar, with the terms “ESRD,” “CAPD,” “peritoneal dialysis,” and “quality of life,” informed by the NCBI MeSH database. The review used a PRISMA-based selection strategy and content analysis. English-language publications from 2009 to 2019 were considered eligible. A total of 25 articles were included: 15 quantitative studies, seven qualitative studies, two case reports, and one mixed-methods study. In the physical domain, PD was associated with advantages in physical role functioning, vitality, energy, and pain. In the psychological domain, PD patients generally reported lower anxiety and depression than HD patients; one study described severe depressive symptoms among HD patients. Regarding social relationships, PD was associated with greater independence, self-efficacy, freedom of activity, flexibility, and maintenance of everyday routines. In the environmental domain, PD patients were more likely to continue working and to travel more freely than HD patients, which could contribute to financial and psychological well-being. Overall, the reviewed literature suggests that PD may offer quality-of-life advantages in several domains, supporting further consideration of PD for patients requiring long-term or lifelong dialysis.
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