Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/30925
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    Title: Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease
    Authors: Chiang, Pei-Chun
    Hou, Jia-Jeng
    Jong, Ing-Ching
    Hung, Peir-Haur
    Hsiao, Chih-Yen
    Ma, Tsung-Liang
    Hsu, Yueh-Han
    Contributors: Chia Yi Christian Hosp, Ditmanson Med Fdn, Dept Internal Med, Div Nephrol
    Natl Chiayi Univ, Dept Business Adm
    Chia Nan Univ Pharm & Sci, Dept Appl Life Sci & Hlth
    Min Hwei Coll Hlth Care Management, Dept Nursing
    China Med Univ, Dept Publ Hlth
    China Med Univ, Dept Hlth Serv Adm
    Keywords: chronic kidney-disease
    modality selection
    functional independence
    replacement therapy
    esrd patients
    Date: 2016
    Issue Date: 2018-01-18 11:38:03 (UTC+8)
    Publisher: Hindawi Publishing Corp
    Abstract: Background. The purpose of this study was to analyze the factors associated with receiving peritoneal dialysis (PD) in patients with incident end-stage renal disease (ESRD) in a hospital in Southern Taiwan. Methods. The study included all consecutive patients with incident ESRD who participated in amultidisciplinary predialysis education (MPE) program and started their first dialysis therapy between January 1, 2008, and June 30, 2013, in the study hospital. We provided small group teaching sessions to advanced CKD patients and their family to enhance understanding of various dialysis modalities. Multivariate logistic regression models were used to analyze the association of patient characteristics with the chosen dialysis modality. Results. Of the 656 patients, 524 (80%) chose hemodialysis and 132 chose PD. Our data showed that young age, high education level, and high scores of activities of daily living (ADLs) were positively associated with PD treatment. Patients who received small group teaching sessions had higher percentages of PD treatment (30.5% versus 19.5%; P = 0.108) and preparedness for dialysis (61.1% versus 46.6%; P = 0.090). Conclusion. Young age, high education level, and high ADL score were positively associated with choosing PD. Early creation of vascular access may be a barrier for PD.
    Relation: Biomed Research International, V.2016, Article ID 5314719
    Appears in Collections:[Dept. of Applied Life Science and Health] Periodical Articles

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