Chinese Journal of Blood Purification ›› 2022, Vol. 21 ›› Issue (06): 456-460.doi: 10.3969/j.issn.1671-4091.2022.06.017

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Application of the decision aid protocol for choice of dialysis method in patients with end stage renal disease

  

  • Received:2021-09-24 Revised:2022-03-11 Online:2022-06-12 Published:2022-06-12
  • Contact: MIAO Jin-hong 15703928658@139.com E-mail:15703928658@139.com

Abstract: 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.

Key words: End stage renal disease, Dialysis method, Decision making, Participation, Patient satisfaction

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