Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease
Objective To evaluate the effectiveness of shared decision-making (SDM) interventions to improve the quality of dialysis decision-making in patients with end-stage renal disease. Methods A randomized controlled was carried out in 72 patients with end-stage renal disease recruited between October 202...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Army Medical University
2022-11-01
|
| Series: | 陆军军医大学学报 |
| Subjects: | |
| Online Access: | http://aammt.tmmu.edu.cn/Upload/rhtml/202209216.htm |
| _version_ | 1811232542304501760 |
|---|---|
| author | DUAN Fangjian SHI Yu XIE Qin LEI Lei |
| author_facet | DUAN Fangjian SHI Yu XIE Qin LEI Lei |
| author_sort | DUAN Fangjian |
| collection | DOAJ |
| description | Objective To evaluate the effectiveness of shared decision-making (SDM) interventions to improve the quality of dialysis decision-making in patients with end-stage renal disease. Methods A randomized controlled was carried out in 72 patients with end-stage renal disease recruited between October 2021 and December 2021. The patients were randomly assigned into the intervention group (n=36) or the control group (n=36). The intervention group was given SDM interventions in which the nurses used patient decision aids (PDA) for decision-making counseling, while the control group was given routine pre-dialysis education. All patients received the surveys of Decision Conflict Scale, Treatment Choice Questionnaire, Hospital Anxiety and Depression Scale, and Decision Readiness Scale in 1 week after the intervention, and 36-Item Short Form Health Survey (SF-36) and Decision Regret Scale in 3 months after dialysis. The primary endpoint indicator was the score of Decision Conflict Scale, and the secondary ones were treatment choice, and scores of anxiety and depression, decision readiness, quality of life, and decision regret. Results After 1 week of intervention, the scores of decision conflict (P < 0.01) and anxiety (P=0.005) were significantly lower, while that of decision preparation (P < 0.01) was obviously higher in the intervention group than the control group. The proportion of uncertainty to dialysis in the intervention group was significantly lower than that of the control group (15.15% vs 34.29%, P=0.026). In 3 months after dialysis, the intervention group obtained statistically higher total physiological score (P=0.004) and lower decision regret score (P=0.002) when compared with the control group. Conclusion SDM interventions can effectively reduce decision conflict and decision regret, reduce anxiety level, and improve decision preparation and physiological health for the patients with end-stage renal disease.
|
| first_indexed | 2024-04-12T11:04:37Z |
| format | Article |
| id | doaj.art-8bd2a3d29f124d0eb28925832c725786 |
| institution | Directory Open Access Journal |
| issn | 2097-0927 |
| language | zho |
| last_indexed | 2024-04-12T11:04:37Z |
| publishDate | 2022-11-01 |
| publisher | Editorial Office of Journal of Army Medical University |
| record_format | Article |
| series | 陆军军医大学学报 |
| spelling | doaj.art-8bd2a3d29f124d0eb28925832c7257862022-12-22T03:35:49ZzhoEditorial Office of Journal of Army Medical University陆军军医大学学报2097-09272022-11-0144212217222310.16016/j.2097-0927.202209216Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal diseaseDUAN Fangjian0SHI Yu1XIE Qin2LEI Lei3 Department of Orthopedics, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037Department of Nephrology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037Department of Orthopedics, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037School of Nursing, First Affiliated Hospital, Army Medical University(Third Military Medical University), Chongqing, 400038, ChinaObjective To evaluate the effectiveness of shared decision-making (SDM) interventions to improve the quality of dialysis decision-making in patients with end-stage renal disease. Methods A randomized controlled was carried out in 72 patients with end-stage renal disease recruited between October 2021 and December 2021. The patients were randomly assigned into the intervention group (n=36) or the control group (n=36). The intervention group was given SDM interventions in which the nurses used patient decision aids (PDA) for decision-making counseling, while the control group was given routine pre-dialysis education. All patients received the surveys of Decision Conflict Scale, Treatment Choice Questionnaire, Hospital Anxiety and Depression Scale, and Decision Readiness Scale in 1 week after the intervention, and 36-Item Short Form Health Survey (SF-36) and Decision Regret Scale in 3 months after dialysis. The primary endpoint indicator was the score of Decision Conflict Scale, and the secondary ones were treatment choice, and scores of anxiety and depression, decision readiness, quality of life, and decision regret. Results After 1 week of intervention, the scores of decision conflict (P < 0.01) and anxiety (P=0.005) were significantly lower, while that of decision preparation (P < 0.01) was obviously higher in the intervention group than the control group. The proportion of uncertainty to dialysis in the intervention group was significantly lower than that of the control group (15.15% vs 34.29%, P=0.026). In 3 months after dialysis, the intervention group obtained statistically higher total physiological score (P=0.004) and lower decision regret score (P=0.002) when compared with the control group. Conclusion SDM interventions can effectively reduce decision conflict and decision regret, reduce anxiety level, and improve decision preparation and physiological health for the patients with end-stage renal disease. http://aammt.tmmu.edu.cn/Upload/rhtml/202209216.htmshared decision-makingend-stage renal diseasehemodialysisperitoneal dialysispatient decision aidsdecision coaching |
| spellingShingle | DUAN Fangjian SHI Yu XIE Qin LEI Lei Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease 陆军军医大学学报 shared decision-making end-stage renal disease hemodialysis peritoneal dialysis patient decision aids decision coaching |
| title | Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease |
| title_full | Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease |
| title_fullStr | Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease |
| title_full_unstemmed | Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease |
| title_short | Efficacy of shared decision-making for dialysis treatment decisions in patients with end-stage renal disease |
| title_sort | efficacy of shared decision making for dialysis treatment decisions in patients with end stage renal disease |
| topic | shared decision-making end-stage renal disease hemodialysis peritoneal dialysis patient decision aids decision coaching |
| url | http://aammt.tmmu.edu.cn/Upload/rhtml/202209216.htm |
| work_keys_str_mv | AT duanfangjian efficacyofshareddecisionmakingfordialysistreatmentdecisionsinpatientswithendstagerenaldisease AT shiyu efficacyofshareddecisionmakingfordialysistreatmentdecisionsinpatientswithendstagerenaldisease AT xieqin efficacyofshareddecisionmakingfordialysistreatmentdecisionsinpatientswithendstagerenaldisease AT leilei efficacyofshareddecisionmakingfordialysistreatmentdecisionsinpatientswithendstagerenaldisease |