Factors Related to Self-determination to Select Dialysis Modalities in Patients with End-stage Renal Diseases
Keywords:
hope, preference, accessibility, attitude, self-determination, end-stage renal diseasesAbstract
Abstract
Most patients with end-stage renal diseases (ESRD) cannot select the most appropriate dialysis modality, which can then lead to not being able to continue dialysis. This correlational descriptive study aimed to examine factors on ability to select dialysis modalities. The sample was 82 randomly-selected subjects who had been diagnosed by nephrologists with end-stage renal diseases and had to be treated with renal replacement therapies. Data-collection instruments included a personal data record form and questionnaires: hope regarding dialysis modalities, preference of dialysis modalities, accessibility to dialysis service, attitude toward dialysis modalities, and an intrinsic motivation inventory. The data were analyzed via descriptive statistics and Pearson’s product moment correlation coefficients.
The results showed that most ESRD patients had a high level of ability to self-select appropriate dialysis modalities ( = 40.59, SD = 2.02), and that hope, preference, and accessibility factors were significantly related to ability to self-select appropriate dialysis modalities (r = .32, r = .29, r = .34, p < .01 respectively). There was no association between patient’s attitude toward dialysis modalities and ability to self-determine dialysis modalities (r = -.01, p >.05).
Professional nurses and other healthcare personnel should support ESRD patients acquiring knowledge relating to their illness and renal replacement therapy options. This will enhance understanding, positive attitudes, and preference for the renal replacement therapies selected, and will promote hope for high quality of life even though their survival depends on renal replacement therapy.
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V. (2019). Us renal data system 2018 annual data report: Epidemiology of kidney disease in the united states. American Journal of Kidney Diseases, 73(3), 1-772.
Shafi, S. T., Saleem, M., Anjum, R., Abdullah, W., & Shafi, T. (2018). Refusal of hemodialysis by
hospitalized chronic kidney disease patients in Pakistan. Saudi Journal of Kidney Diseases
and Transplantation, 29(2), 401–408.
Sidani, S., Epstein, D. R., Fox, M., & Miranda, J. (2018). Psychometric properties of the treatment
perception and preferences measure. Clinical Nursing Research, 27(6), 743-761
Song, M.K., Lin, F.C., Gilet, C. A., Arnold, R. M., Bridgman, J. C., & Ward, S. E. (2013).
Patient perspectives on informed decision-making surrounding dialysis initiation. Nephrol Dial Transplant, 28, 2815–2823.
Winterbottom, A., Bekker, H. L., Conner, M., & Mooney, A. (2012). Choosing dialysis modality:
decision making in a chronic illness context. Health Expectations, 17, 710-723.
Yazawa, M., Omae, K., Shibagaki, Y., Inaba, M., Tsuruya, K., & Kurita, N. (2019). The effect of transportation modality to dialysis facilities on health related quality of life among hemodialysis patients: results from the Japanese dialysis outcomes and practice pattern study. Clinical Kidney Journal, 110, 1-7.
patients: Do anxiety, stress and depression matter. Biomed Central Nephrology, 19(98),
1-6.
Brislin, R. (1986). Field methods in cross-cultural psychology. In W. J. Lonner & J. W. Berry (Eds.),
The Wording and Translation of Research Instruments. Newbury park, CA: Sage
publications.
Cassidy, B. P., Harwood, L., Getchell, L. E., Smith, M., Sibbald, S. L., & Moist, L. M. (2018).
Educational support around dialysis modality decision making in patients with chronic
kidney disease: A qualitative study. Canadian Journal of Kidney Health and Disease,
5, 1-9.
Chaisawat, P., Pawananan, P., Nanongkai, S., & Kittipichai, V. (2016). Utilization of elderly health
services, tambon viharn khao, amphor tha-chang, Singburi. Vajira Nursing Journal, 18(2),
42-50. [In Thai]
Chang, P.Y., Chien, L.N, Lin, Y.F, Wu, M.S, Chiu, W.T, & Chiou, H.Y. (2016). Risk factors of gender
for renal progression in patients with early chronic kidney disease. Medicine, 95(30), 1-7.
Chylinska, J., Lazarewicz, M. A., Rzadkiewicz, M., Adamus, M., Jaworski, M., Haugan, G., &
Wlodarczyk, D. (2017). The role of gender in the active attitude toward treatment and
sociodemographic factors as moderators. Biomed Central Geriatrics, 17(284), 1-10.
Fresenius Medical Care. (2013). Annual report 2013. Retrieved Aprill 1, 2019,
from https://www.freseniusmedicalcare.com/fileadmin/data/de/pdf/investors/News Publications/Annual_Reports/2013/FMC_Annual_Report_2013_en.pdf.
Faul, F., Erdfelder, E., Lang, G. A., & Buchner, A. (2007). G*power: A flexible statistical power
analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
He, F., Li, D., Cao, R., Zeng, J., & Guan, H. (2014). The attitude-behavior discrepancy in medical
decision making. Iranian Red Crescent Medical Journal, 16(12), e14612. https://doi.org/10.5812/ircmj.14612.
Hyodo, T., Fukagawa, M., Hirawa, N., Hayashi, M., Nitta, K., Chan, S., & Widiana, G. (2019). Present
status of renal replacement therapy in Asian countries as of 2016: Cambodia, Laos, Mongolia, Bhutan, and Indonesia. Renal Replacement Therapy, 5(12), 1-11.
Kochasenee, P., & Jittinan, A. (2019). Chornic kidney disease and initiation of dialysis.
Essentials in hemodialysis. Bangkok: Text and journal publication. [In Thai]
Kramer, A., Pippias, M., Noordzij, M., Stel, V. S., Andrusev, A. M., Aparicio-Madre, M. I., & Jager,
K. J. (2019). The european renal association – european dialysis and transplant association (era-edta) registry annual report 2016: A summary. Clinical Kidney Journal, 11(1), 1-19.
Lazarewicz, M. A., Wlodarczyk, D., Chylinska, J., Jaworski, M., Rzadkiewicz, M.,
Adamus, M., & Espnes, G. A. (2018). Testing a new tool assessing attitude towards treatment and health in primary health care setting: senior patients and doctors
perspectives. Scandinavian Journal of Public Health, 47(1), 1-9.
Ladin, K., Pandya, R., Perrone, R. D., Meyer, K. B., Kannam, A., Loke, R., Oskoui, T., Weiner,
D. E., & Wong, J. B. (2018). Characterizing approaches to dialysis decision making
with older adults: A qualitative study of nephrologists. Clinical Journal of The
American Society of Nephrology : CJASN, 13(8), 1188–1196.
Lee, A., Gudex, C., Povlsen, J. V., Bonnevie, B., & Nielsen, C. P. (2008). Patients' views regarding choice of dialysis modality. Nephrology Dialysis Transplantation, 23(12), 3953–3959.
Lertlulm, L. (1999). Hope of elderly. Graduate school. Khon Kaen University. [In Thai]
Lindberg, J., Johansson, M., & Broström, L. (2019). Temporising and respect for patient self-
determination. Journal of Medical Ethics, 45(3), 161–167.
Lorcy, N., Turmel, V., Oger, E., Couchoud, C., & Vigneau, C. (2015). Opinion of french
nephrologists on renal replacement therapy: survey on their personal choice.
Clinical Kidney Journal, 8(6), 785-788.
Miller, J.F. (1985). “Hope”. American Journal of Nursing, 85, 23-25.
Penchansky, R., & Thomas, J. W. (1981) The concept of access definition and relationships to
consumer satisfaction. Medical Care, 19, 127-140.
Polit, D.F., & Beck, C.T. (2004) Nursing research: Principles and methods. (7th Ed.), Lippincott
Williams & Wilkins, Philadelphia.
Polit, D.F., & Beck, C.T. (2017) Nursing research: generating and assessing evidence for nursing
practice (10th Ed.), Philadelphia: Wolters Kluwer Health.
Qazi, H. A., Chen, H., & Zhu, M. (2018). Factors influencing dialysis withdrawal: a scoping review.
Biomed Central Nephrology, 19(96), 3-11.
Russell, J. S., & Boulware, E. L. (2018). End-stage renal disease treatment options education.
Seminar in Dialysis, 31, 122-128.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory basic psychological needs in
motivation, development, and wellness. New York: The Guilford Press.
Saeed, F., Muhammad, S., Khalid, R., Raza, N., Ronald, E., Sarah, D., Muhammad, M., & Kevin, F.
(2020). Dialysis decision-making and preferences for end-of-life care: perspectives of pakistani patients receiving maintenance dialysis. Journal of Pain and Symptom Management, 59(3), 1-8.
Saran, R., Robinson, B., Abbott, K. C., Agodoa, L., Bragg-Gresham, J., Balkrishnan, R., ... Shahinian,
V. (2019). Us renal data system 2018 annual data report: Epidemiology of kidney disease in the united states. American Journal of Kidney Diseases, 73(3), 1-772.
Shafi, S. T., Saleem, M., Anjum, R., Abdullah, W., & Shafi, T. (2018). Refusal of hemodialysis by
hospitalized chronic kidney disease patients in Pakistan. Saudi Journal of Kidney Diseases
and Transplantation, 29(2), 401–408.
Sidani, S., Epstein, D. R., Fox, M., & Miranda, J. (2018). Psychometric properties of the treatment
perception and preferences measure. Clinical Nursing Research, 27(6), 743-761
Song, M.K., Lin, F.C., Gilet, C. A., Arnold, R. M., Bridgman, J. C., & Ward, S. E. (2013).
Patient perspectives on informed decision-making surrounding dialysis initiation. Nephrol Dial Transplant, 28, 2815–2823.
Winterbottom, A., Bekker, H. L., Conner, M., & Mooney, A. (2012). Choosing dialysis modality:
decision making in a chronic illness context. Health Expectations, 17, 710-723.
Yazawa, M., Omae, K., Shibagaki, Y., Inaba, M., Tsuruya, K., & Kurita, N. (2019). The effect of transportation modality to dialysis facilities on health related quality of life among hemodialysis patients: results from the Japanese dialysis outcomes and practice pattern study. Clinical Kidney Journal, 110, 1-7.
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Published
2020-09-29
How to Cite
Sangsee, P., Tanatwanit, Y. ., Kunsongkeit, W. ., & Moungkum, S. . (2020). Factors Related to Self-determination to Select Dialysis Modalities in Patients with End-stage Renal Diseases. The Journal of Faculty of Nursing Burapha University, 28(3), 53–65. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/246071
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