Who decides on peritoneal dialysis treatment? A decision analysis for patients with kidney failure

Peritoneal dialysis, a home-based treatment, enhances patient well-being but is less preferred in Taiwan. This study uses in-depth interviews and ranking surveys to examine the decision-making process of 25 patients (13 male, 12 female, aged 31-80) who initiated peritoneal dialysis. Findings reveal...

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Bibliographic Details
Published inJournal of health psychology p. 13591053241264984
Main Authors Chou, Che-Yi, Hsieh, Yu-Ling, Lai, Jia-Wen
Format Journal Article
LanguageEnglish
Published England 27.07.2024
Subjects
kidney failure
decision-making
peritoneal dialysis
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Summary:Peritoneal dialysis, a home-based treatment, enhances patient well-being but is less preferred in Taiwan. This study uses in-depth interviews and ranking surveys to examine the decision-making process of 25 patients (13 male, 12 female, aged 31-80) who initiated peritoneal dialysis. Findings reveal that physicians significantly influence dialysis choices, with their expertise and leadership being core factors. Patients' participation in decision-making is categorized as "active" or "passive" based on their knowledge and acceptance of treatments. Family members also play a crucial role in decisions for patients relying on familial care. Trust in physicians' recommendations is crucial, emphasizing the importance of a strong doctor-patient relationship and ongoing support to boost patient confidence in peritoneal dialysis.
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ISSN:1359-1053
1461-7277
1461-7277
DOI:10.1177/13591053241264984