Objective To investigate the application of the decision aid protocol for choice of dialysis method in patients with end stage renal disease (ESRD). Methods The ESRD patients admitted to the dialysis center of our hospital from July to December 2020 were enrolled in this study. Fifty ESRD patients hospitalized in the First Nephrology Ward were randomly recruited as the control group, and 48 ESRD patients admitted in the Fifth Nephrology Ward were randomly enrolled as the intervention group. The control group only received routine nursing, while the intervention group received the choice of dialysis method by the decision aid protocol in addition to routine nursing. Results The intervention group actually participated more in treatment decision than the control group (t=16.007, P=0.000). The decision preparation was significantly higher in the intervention group than in the control group (t=10.069, P=0.000). The decision satisfaction was significantly higher in the intervention group than in the control group (t=16.713, P＝0.000). Conclusion The choice of dialysis method by the decision aid protocol can effectively improve the actual degree of patient participation, the decision-making preparation and patient satisfaction.
WANG Xiao-Xing
,
ZHANG Xiao-Ya
,
MIAO Jin-Hong
,
WANG Kan-Kan
,
LEI Yu-Tian
,
YUE Xiao-Hong
,
WANG Pei
. Application of the decision aid protocol for choice of dialysis method in patients with end stage renal disease[J]. Chinese Journal of Blood Purification, 2022
, 21(06)
: 456
-460
.
DOI: 10.3969/j.issn.1671-4091.2022.06.017
[1] Delles C, Vanholder R. Chronic kidney diseases[J]. Clin Sci, 2017, 131(3): 225-226.
[2] Kramer A, Stel VS, Diez JMA, et al. Renal replacement therapy in Europe—a summary of the 2010 ERA–EDTA Registry Annual Report[J]. Clin Kidney J, 2013, 6(1): 105-115.
[3] Waldum-Grevbo B, Leivestad T, Reis?ter AV, et al. Impact of initial dialysis modality on mortality: apropensity-matched study[J]. BMC Nephrol, 2015, 16:179.
[4] Wong B, Ravani P, Oliver MJ, et al. Comparison of Patient Survival Between Hemodialysis and Peritoneal Dialysis Among Patients Eligible for Both Modalities[J].
Am J Kidney Dis, 2018, 71(3): 344-351.
[5] Nakayama M, Nakano H, Nakayama M. Novel therapeutic option for refractory heart failure in elderly patients with chronic kidney disease by incremental peritoneal
dialysis[J]. J Cardiol, 2010, 55(1): 49-54.
[6] Ladin K, Lin N, Hahn E, et al. Engagement in decisionmaking and patient satisfaction: a qualitative study of older patients' perceptions of dialysis initiation
and modality decisions[J]. Nephrol Dial Transplant, 2017, 32(8): 1394-1401.
[7] Davis JL, Davison SN. Hard choices, better outcomes[J]. Curr Opinion Nephrol Hypertens, 2017, 26(3): 205-213.
[8] Giles K. Decision aids for people facing health treatment or screening decisions[J]. International Journal of Evidence Based Healthcare, 2015, 13(2): 112-113.
[9] Levey AS, Coresh J, Balk E, et al. National Kidney Foundation Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification[J]. Ann Intern Med, 2003, 139(2): 137-147.
[10] Cupisti A, D'Alessandro C, Finato V, et al. Assessment of physical activity, capacity and nutritional status in elderly peritoneal dialysis patients[J]. BMC Nephrology, 2017, 18(1): 180.
[11] 张晓雅,苗金红,王瑞敏,岳晓红,王沛.血液净化中心血管通路护士岗位设置效果分析[J].中国血液净化,2020,19(09):637-640.
[12] 马丽莉. 癌症病人参与治疗护理决策现状及影响因素的研究[D]. 北京协和医学院; 中国医学科学院; 清华大学医学部; 中国协和医科大学, 2004.
[13] Bennett C, Graham ID, Kristjansson E, et a1. Validation of a Preparation for Decision Making Scale[J]. Patient Educ Couns, 2010, 78(1): 130·133.
[14] 徐小琳. 患者对医疗决策参与的满意度量表的编制及信效度考评[D]. 中南大学社会医学与卫生事业管理, 2010.
[15] 范慧芳, 郭艳. 决策辅助对口腔颌面部癌症病人治疗决策参与及满意度的影响[J]. 护理研究, 2019, 33(14): 2521-252.
[16] 苗金红, 张晓雅, 王晓星, 等. 决策辅助在终末期肾脏病患者透析方式选择中的研究进展[J]. 中国血液净化, 2020, 19(10): 703-705.
[17] 柏冬丽, 侯晓婷, 刘晓红, 等. 肿瘤晚期患者参与临床决策期望的现况研究[J].护理学杂志, 2017, 32(5): 35-38.
[18] Berry DL, Wang Q, Halpenny B, et al. Decision preparation, satisfaction and regret in a multi-center sample of men with newly diagnosed localized prostate cancer[J]. Patient Educ Couns, 2012, 88(2): 262-267.
[19] 王燕, 王小媛, 石立元, 等. 乳腺癌乳房再造手术患者决策辅助方案的构建及应用[J]. 中华护理杂志, 2020, 55(01): 90-95.
[20] Subramanian L, Zhao J, Zee J, et al. Use of a Decision Aid for Patients Considering Peritoneal Dialysis and In- Center Hemodialysis: A Randomized Controlled Trial[J]. Am J Kidney Dis, 2019, 74(3): 351-360.
[21] Tonkin-Crine S, Okamoto I, Leydon GM, et al. Understanding by older patients of dialysis and conservative management for chronic kidney failure[J]. Am J Kidney Dis, 2015, 65(3): 443-450.
