Predialysis education helps patients choose dialysis modality and increases disease‐specific knowledge

Klang, Birgitta; Björvell, Hjördis; Clyne, Naomi

doi:10.1046/j.1365-2648.1999.00957.x

Cited by 52 publications

(63 citation statements)

References 22 publications

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“…It is likely that the system in Singapore-in which most medical services, including pre-dialysis education, are mostly feefor-service, with only limited financial support from the government-may be hindering well-informed decisions. As shown in other settings, implementation of reimbursement is likely to improve patient knowledge of dialysis, thus helping to achieve an informed patient decision for a dialysis modality, which is linked to improved rates of PD uptake (14,47,49,50,53). However, more work is needed to document pre-dialysis education utilization rates in relation to PD uptake and penetration rates.…”

Section: Discussionmentioning

confidence: 99%

“…Carefully planned and timed pre-dialysis education is therefore critical in clarifying the misconceptions (46)(47)(48)(49)(50)(51). It is imperative to revisit or review how to best cater for the decisional support needs of patients and then to design patient resources and pre-dialysis programs that are sufficiently proactive to engage patients in making informed decisions about dialysis modality, while eliciting and targeting misperceptions and misunderstandings.…”

Section: Discussionmentioning

confidence: 99%

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Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Griva

Lai

et al. 2012

Perit Dial Int

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♦ Objectives: This study explored the factors influencing decision-making about dialysis modality, integrating the perspectives of patients, their families, and health care professionals within an Asian population. The study further sought to understand the low penetration rate of peritoneal dialysis (PD) in Singapore. ♦ Methods: A sample of 59 participants comprising pre-dialysis patients, dialysis patients, caregivers, and health care professionals (HCPs) participated in semistructured interviews to explore the decision-making process and their views about various dialysis modalities. Data were thematically analyzed using NVivo9 (QSR International, Doncaster, Australia) to explore barriers to and facilitators of various dialysis modalities and decisional support needs. ♦ Results: Fear of infection, daily commitment to PD, and misperceptions of PD emerged as barriers to PD. Side effects, distance to dialysis centers, and fear of needling and pain were barriers to hemodialysis (HD). The experiences of other patients, communicated informally or opportunistically, influenced the preferences and choices of patients and family members for a dialysis modality. Patients and families value input from HCPs and yet express strong needs to discuss subjective experiences of life on dialysis (PD or HD) with other patients before making a decision about dialysis modality. ♦ Conclusions: Pre-dialysis education should expand its focus on the family as the unit of care and should provide opportunities for interaction with dialysis patients and for peer-led learning. Barriers to PD, especially misperceptions and misunderstandings, can be targeted to improve PD uptake.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Griva

Lai

et al. 2012

Perit Dial Int

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“…Nonsteroidal anti-inflammatory drug (NSAID) avoidance education in patients at risk for AKI increased knowledge of NSAID-associated risks and patient-reported intentions to limit NSAID use (5). CKD patient education programs may defer dialysis initiation (6), increase use of self-care-based dialysis modalities (7,8), lengthen survival on dialysis (9)(10)(11), and improve overall mood and feelings of good health (12). National programs and CKD care guidelines uniformly recommend patient education as a critical component of care (13)(14)(15)(16).…”

Section: Benefits Of Patient Educationmentioning

confidence: 99%

Educating Patients about CKD

Narva

Norton

Boulware

2016

Clinical Journal of the American Society of Nephrology

205

190

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Patient education is associated with better patient outcomes and supported by international guidelines and organizations, but a range of barriers prevent widespread implementation of comprehensive education for people with progressive kidney disease, especially in the United States. Among United States patients, obstacles to education include the complex nature of kidney disease information, low baseline awareness, limited health literacy and numeracy, limited availability of CKD information, and lack of readiness to learn. For providers, lack of time and clinical confidence combine with competing education priorities and confusion about diagnosing CKD to limit educational efforts. At the system level, lack of provider incentives, limited availability of practical decision support tools, and lack of established interdisciplinary care models inhibit patient education. Despite these barriers, innovative education approaches for people with CKD exist, including self-management support, shared decision making, use of digital media, and engaging families and communities. Education efficiency may be increased by focusing on people with progressive disease, establishing interdisciplinary care management including community health workers, and providing education in group settings. New educational approaches are being developed through research and quality improvement efforts, but challenges to evaluating public awareness and patient education programs inhibit identification of successful strategies for broader implementation. However, growing interest in improving patient-centered outcomes may provide new approaches to effective education of people with CKD.

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“…Moreover, the need for adequate health-and illnessrelated information is among patients' basic needs, the fulfillment of which can give them senses of peace and safety (24). Different studies demonstrated the positive effects of patient and family education on patient outcomes (25)(26)(27)(28). A study also showed that education and counseling alleviate hemodialysis patients' and their family members' concerns and discomfort (29).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

2017

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Background: Providing patients with comfort is the basis of nursing care and a favorable outcome of nursing care measures. Comfort is of special importance to hemodialysis patients because they spend a large part of their lives in hemodialysis units and are constantly dealing with different physical and mental health problems. This study aimed to evaluate the effects of comfort-based interventions (back massage along with patient and family education) on the level of comfort among hemodialysis patients. Methods: As a randomized controlled trial, this study was undertaken in 2016 in the hemodialysis unit of Shahid Chamran hospital, Ferdows, Iran. A convenience sample of forty hemodialysis patients was recruited. Patients were alternately allocated to control or intervention groups based on their hemodialysis days. The hospice comfort questionnaire was completed for all participants at the beginning and at the end of the study. This questionnaire showed that the comfort needs of patients were related to muscle cramps, headache, back pain, nausea, lack of knowledge about arteriovenous fistula care, dietary and treatment regimens, itching, rest and sleep disorders, and impaired comfort. Patients in the intervention group received massage as well as patient and family education in six consecutive hemodialysis sessions, while their counterparts in the control group solely received the routine care services of the study setting. The SPSS software (v. 18.0) was used for data analysis through running the paired-and the independent-sample t tests. The significance level was set at less than 0.05. Results: The mean scores of comfort and its environmental and psychospiritual dimensions significantly increased in the intervention group (P < 0.001). Significant increases were also observed in the mean scores of comfort and its psychospiritual dimension in the control group (P < 0.05). Before the intervention, there were no significant differences between the groups respecting the mean values of comfort and its dimensions (P > 0.05). However, after the intervention, there were significant between-group differences in the mean scores of comfort and its environmental dimension as well as in the pretest-posttest mean difference for the environmental dimension of comfort.

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Predialysis education helps patients choose dialysis modality and increases disease‐specific knowledge

Cited by 52 publications

References 22 publications

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Educating Patients about CKD

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

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