학술논문

Supporting Patient Choice: An Intervention to Promote Independent Dialysis Therapies.
Document Type
Article
Source
Nephrology Nursing Journal. Nov/Dec2011, Vol. 38 Issue 6, p491-498. 8p.
Subject
*TREATMENT of chronic kidney failure
*CHRONIC kidney failure
*ATTITUDE (Psychology)
*CONCEPTUAL structures
*DECISION making
*DIALYSIS (Chemistry)
*DISEASES
*FOCUS groups
*HEALTH promotion
*HEMODIALYSIS
*HOME hemodialysis
*KIDNEY diseases
*NEPHROLOGY
*NURSING
*PATIENT education
*PATIENTS
*SENSORY perception
*PERITONEAL dialysis
*QUESTIONNAIRES
*RESEARCH
*THERAPEUTICS
*QUALITATIVE research
*JUDGMENT sampling
*SOCIAL support
*CONTINUING education units
*PSYCHOLOGY
Language
ISSN
1526-744X
Abstract
Independent dialysis therapies are as effective as in-center therapies but cost only about half as much. This project incorporated a patient focus group to better understand patient perceptions and possible barriers related to choosing independent dialysis therapies. Focus group findings included hardship related to loss of kidney function, the need for support from healthcare professionals, the need for educational materials and recruitment strategies focused on the benefits of independent dialysis, the need for peer support to encourage choice of independent dialysis modality, and support for technical issues. Themes identified by the focus group were used to create two new education tools and a nurse-delivered education program for patients with CKD. Future evaluation will determine whether these efforts lead to an increase in selection of independent dialysis therapies. [ABSTRACT FROM AUTHOR]