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

Liang, C.-H., Yang, C.-Y., Lu, K.-C., Chu, P., Chen, C.-H., Chang,Y.-S, O'Brien, A.P., Bloomer, M. and Chou, K.-R 2011, Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease, International nursing review, vol. 58, no. 4, pp. 463-469, doi: 10.1111/j.1466-7657.2011.00913.x.

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Title Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease
Author(s) Liang, C.-H.
Yang, C.-Y.
Lu, K.-C.
Chu, P.
Chen, C.-H.
O'Brien, A.P.
Bloomer, M.ORCID iD for Bloomer, M. orcid.org/0000-0003-1170-3951
Chou, K.-R
Journal name International nursing review
Volume number 58
Issue number 4
Start page 463
End page 469
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2011-12
ISSN 1466-7657
Summary BACKGROUND: Taiwan has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world with 55,499 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.
Language eng
DOI 10.1111/j.1466-7657.2011.00913.x
Field of Research 1110 Nursing
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082184

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