Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease

doi:10.1155/2016/5314719

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標題:	Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease
作者:	Chiang, Pei-Chun Hou, Jia-Jeng Jong, Ing-Ching Hung, Peir-Haur Hsiao, Chih-Yen Ma, Tsung-Liang Hsu, Yueh-Han
貢獻者:	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
關鍵字:	chronic kidney-disease decision-making modality selection functional independence replacement therapy elderly-patients esrd patients hemodialysis nephrologists education
日期:	2016
上傳時間:	2018-01-18 11:38:03 (UTC+8)
出版者:	Hindawi Publishing Corp
摘要:	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.
關聯:	Biomed Research International, V.2016, Article ID 5314719
显示于类别:	[生活保健科技系] 期刊論文

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