• Medicine · May 2023

    Shared decision-making intervention regarding dialysis modality in patients with CKD stage 5.

    • Young-Ki Lee, Yang-Hyeon Kim, Do-Hyoung Kim, Jin-Heog Kim, Jeong-Hwan Lee, Ji Hyeon Park, Gang-Jee Ko, Won-Min Hwang, Hyo-Wook Gil, Young-Sun Kang, Kyu-Bok Jin, Jun-Young Do, Se-Joong Kim, Beom-Seok Kim, and Ho Sik Shin.
    • Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
    • Medicine (Baltimore). 2023 May 12; 102 (19): e33695e33695.

    BackgroundPatients with kidney failure must make complicated decisions about the dialysis modalities used either at home or in-hospital. Different options have varying levels of impact on patients' physical and psychological conditions and their social life. The purpose of this study was to evaluate the implementation of an intervention designed to achieve shared decision making (SDM) in patients' options for dialysis.MethodsSDM was performed after consent was written for stage 5 chronic kidney disease patients before dialysis, and 435 cases were performed in 408 patients from December 16, 2019 to June 30, 2021. Among these, 101 patients were compared by SDM measurement scale, patient satisfaction, disease recognition scale survey, and dialysis method.ResultsThe average age of participants was 56 years, with a gender composition of 55 males (54.5%) and 46 females (45.5%). Following SDM, the final dialysis methods decided upon by patients and clinicians were peritoneal dialysis (67 patients, 66.3%), hemodialysis (22 patients, 21.8%), and kidney transplantation (1 patient, 1.0%).ConclusionsAmong participating patients, SDM was effective when used to decide on dialysis treatment, and patients were satisfied with the dialysis method decision process. On the disease awareness scale, those who participated in this project had relatively high positive and low negative perceptions, so it can be concluded that SDM was relatively effective. The implementation of SDM was helpful in selecting patients' best dialysis methods, and SDM scale results were higher in the peritoneal dialysis group than in the hemodialysis group.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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