Effects of Pre-Dialysis Counseling Program on Accepting Renal Replacement Therapy in End-Stage Renal Disease Patients
Keywords:
end stage renal disease, renal replacement therapy, pre-dialysis counseling program, chronic kidney disease, pre-dialysis educationAbstract
This was a quasi-experimental research with a two group post-test design to study the effects of the constructed pre-dialysis counseling program on accepting renal replacement therapy (RRT) in new cases of patients with ESRD at Queen Savang Vadhana Memorial Hospital from fiscal year 2018 to 2019. The participants were chosen using purposive sampling and were divided into two groups with 85 cases in each. The control group received pre-dialysis education using a flip chart while the experimental group received the constructed pre-dialysis counseling program. Data were analyzed using descriptive statistics, t-test, chi-square test, and binary logistic regression.
The results showed that the experimental group had a significantly greater rate of accepting RRT and had a significantly lesser rate of complications of CKD, lower number of emergency HD rates, and shorter length of stay of the first time of admission for RRT than those in the control group. For the experimental group, after receiving the constructed pre-dialysis counseling program, the scores of knowledge and attitude of CKD and RRT and attitudes related to this counseling program were significantly greater. In the control group, the factors predicting the acceptance of RRT comprised unemployment and anemia. The factors affected to not accepting RRT comprised company employees, and having an income of less than 15,000 baht per month. This equation showed the Nagelkerke R Square as 0.65.
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