Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease

C. H. Liang, C. Y. Yang, K. C. Lu, P. Chu, C. H. Chen, Y. S. Chang, A. P. O'Brien, M. Bloomer, K. R. Chou

研究成果: 雜誌貢獻文章同行評審

10 引文 斯高帕斯(Scopus)

摘要

Background: Taiwan has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world with 55499 ESRD patients on long-term dialysis. Nevertheless, 90.96% of these patients are managed on maintenance haemodialysis (HD), with only 9.03% enrolled in a peritoneal dialysis (PD) programme. Aim: The study aim was to identify the factors affecting Taiwanese patient's selection of PD in preference to HD for chronic kidney disease. Methods: A cross-sectional research design was utilized with 130 chronic renal failure (CRF) patients purposively selected from outpatient nephrology clinics at four separate Taiwan hospitals. Logistic regression was used to identify the main factors affecting the patient's choice of dialysis type. Results: Single-factor logistic regression found significant differences in opinion related to age, education level, occupation type, disease characteristics, lifestyle modifications, self-care ability, know-how of dialysis modality, security considerations and findings related to the decisions made by medical personnel (P<0.05). Moreover, multinomial logistic regression after adjustment for interfering variables found that self-care ability and dialysis modality know-how were the two main factors affecting the person's selection of dialysis type. Conclusions: Self-care ability and the person's knowledge of the different types of dialysis modality and how they function were the major determinants for selection of dialysis type in Taiwan based on the results from this study. The results indicate that the education of CRF patients about the types of dialysis available is essential to enable them to understand the benefits or limitations of both types of dialysis.

原文英語
頁(從 - 到)463-469
頁數7
期刊International Nursing Review
58
發行號4
DOIs
出版狀態已發佈 - 12月 2011

ASJC Scopus subject areas

  • 一般護理

指紋

深入研究「Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease」主題。共同形成了獨特的指紋。

引用此