Chyn-Yng Yang and Chia-Hui Liang are co-first authors of the manuscript.
Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease
Article first published online: 21 OCT 2011
© 2011 The Authors. International Nursing Review © 2011 International Council of Nurses
International Nursing Review
Volume 58, Issue 4, pages 463–469, December 2011
How to Cite
Liang, C.-H., Yang, C.-Y., Lu, K.-C., Chu, P., Chen, C.-H., Chang, Y.-S., O'Brien, A.P., Bloomer, M. and Chou, K.-R. (2011), Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease. International Nursing Review, 58: 463–469. doi: 10.1111/j.1466-7657.2011.00913.x
- Issue published online: 17 NOV 2011
- Article first published online: 21 OCT 2011
- Patient Participation;
LIANG C.-H., YANG C.-Y., LU K.-C., CHU P., CHEN C.-H., CHANG Y.-S., O'BRIEN A.P., BLOOMER M. & CHOU K.-R. (2011) Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease. International Nursing Review58, 463–469
Background: Taiwan has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world with 55 499 ESRD patients on long-term dialysis. Nevertheless, 90.96% of these patients are managed on maintenance haemodialysis (HD), with only 9.03% enrolled in a peritoneal dialysis (PD) programme.
Aim: The study aim was to identify the factors affecting Taiwanese patient's selection of PD in preference to HD for chronic kidney disease.
Methods: A cross-sectional research design was utilized with 130 chronic renal failure (CRF) patients purposively selected from outpatient nephrology clinics at four separate Taiwan hospitals. Logistic regression was used to identify the main factors affecting the patient's choice of dialysis type.
Results: Single-factor logistic regression found significant differences in opinion related to age, education level, occupation type, disease characteristics, lifestyle modifications, self-care ability, know-how of dialysis modality, security considerations and findings related to the decisions made by medical personnel (P < 0.05). Moreover, multinomial logistic regression after adjustment for interfering variables found that self-care ability and dialysis modality know-how were the two main factors affecting the person's selection of dialysis type.
Conclusions: Self-care ability and the person's knowledge of the different types of dialysis modality and how they function were the major determinants for selection of dialysis type in Taiwan based on the results from this study. The results indicate that the education of CRF patients about the types of dialysis available is essential to enable them to understand the benefits or limitations of both types of dialysis.