• Journals Master List
  • DOAJ
  • 数据库logo
  • EuroPub
ZHUANG Jing, Reziwanguli Abudula, JIANG-Hong. Feasibility assessment on the independent selection of dialysis methods in ESRD patient after 3-month blood purification:A blood purification center observation study in the Xinjiang Uyghur Autonomous Region[J]. Journal of Clinical Nephrology, 2020, 20(5): 395-399. DOI: 10.3969/j.issn.1671-2390.2020.05.009
Citation: ZHUANG Jing, Reziwanguli Abudula, JIANG-Hong. Feasibility assessment on the independent selection of dialysis methods in ESRD patient after 3-month blood purification:A blood purification center observation study in the Xinjiang Uyghur Autonomous Region[J]. Journal of Clinical Nephrology, 2020, 20(5): 395-399. DOI: 10.3969/j.issn.1671-2390.2020.05.009

Feasibility assessment on the independent selection of dialysis methods in ESRD patient after 3-month blood purification:A blood purification center observation study in the Xinjiang Uyghur Autonomous Region

More Information
  • Received Date: October 14, 2019
  • Available Online: May 11, 2023
  • Published Date: May 27, 2020
  • Objective To investigate mastering of the patients with SRD(ESRD)with dialysis treatment of over 3 months about knowledge and advantages or shortcomings of the two dialysis therapies in our dialysis center, and evaluate the intention and feasibility of their independent selection of dialysis methods.Methods With convenient sampling,146 patients with ESRD,who started to conduct regular peritoneal dialysis in People’s Hospital of Xinjiang Uyghur Autonomous Region between January 2016 to December 2017,were selected and divided into the hemodialysis group(HD group,85 patients)and the peritoneal dialysis group(PD group,61 patients)according to their dialysis methods.A retrospect survey questionnaire was made to learn about demographic data,influencing factors of selection of the two dialysis modes and urine decrease during dialysis,and to analyze the intention and feasibility of the patients’ new selection of long-term dialysis.Results The HD patients most selected this dialysis mode(92.94%)mainly according to their physician’s introduction before dialysis,while the PD patients who independently selected PD had a big proportion(55.74%).There was statistically significant difference between the two groups(P<0.05).After three months of dialysis,over 70% of the patients learned about the knowledge and features of the two dialysis modes,but 90.59% patients in the HD group did not yet master the PD knowledge,with statistically significant difference between the two groups(P<0.05).The emergent dialysis records in the HD group were more than those in the PD group(P<0.05).24-hour urine volume before dialysis had no difference between the two groups,after 3 months of treatment the proportion of patients with decrease urine volume in the HD group was higher than that in the PD group(P<0.05).With 3 months of treatment and education,there were 41.18 and 19.67% patients in the HD and PD groups,respectively,who were willing to adjust their dialysis method.Conclusions Lack of sufficient knowledge about dialysis is the main factor affecting ESRD patient`s independent selection of dialysis methods.besides that,more experience of emergent dialysis also plays a vital role in their selection.Both 3-month experience of dialysis and the changes of urine volume in the course of different dialysis therapies contribute to accumulation of the knowledge and the practice of two dialysis methods.This makes it possible for ESRD patients to have the ability to select dialysis mode independently,and make them select suitable dialysis method based on their own specific conditions.
  • [1]
    Changsirikulchai S,Sriprach S,Thokanit NS,et al.Survival analysis and associated factors in Thai patients on peritoneal dialysis under the PD-first policy[J].Perit Dial Int,2018,38(3):172-178.DOI: 10.3747/pdi.2017.00127.
    [2]
    AbdulManaf MR,Surendra NK,Abdul Gafor AH,et al.Dialysis provision and implications of health economics on peritoneal dialysis utilization:a review from a Malaysian perspective[J].Int J Nephrol,2017,2017:5819629.DOI: 10.1155/2017/5819629.
    [3]
    Mandel EI,Bernacki RE,Block SD.Serious illness conversations in ESRD[J].Clin J Am Soc Nephrol,2017,12(5):854-863.DOI: 10.2215/CJN.05760516.
    [4]
    余效辉,何贵珍,涂强.血液透析与腹膜透析治疗终末期糖尿病肾病的临床疗效对比研究[J].当代医学,2018,24(25):17-19.DOI: 10.3969/j.issn.1009-4393.2018.25.007.
    [5]
    刘付敬樟,江康伟,文丽斯,等.腹膜透析治疗慢性肾功能衰竭患者的疗效及其对血清BUN、SCr、细胞因子水平的影响[J].疑难病杂志,2017,16(12):1240-1243.DOI: 10.3969/j.issn.1671-6450.2017.12.014.
    [6]
    陈海高,廖新媛,刘日光.腹膜透析与血液透析治疗糖尿病肾病的对比研究[J].临床医学工程,2015,22(1):17-19.DOI: 10.3969/j.issn.1674-4659.2015.01.0017.
    [7]
    刘伏友.腹膜透析治疗新观念及临床实践[C]//中华医学会.中华医学会肾脏病学分会2015年学术年会论文集.2015:84.
    [8]
    苏昭婷,杜玄一.透析前教育对终末期肾病患者透析方式及时机的影响[J].中国中西医结合肾病杂志,2016,17(1):90-92.
    [9]
    Segall L,Nistor I,van Biesen W,et al.Dialysis modality choice in elderly patients with end-stage renal disease:a narrative review of the available evidence:Table 1[J].Nephrol Dial Transplant,2015:gfv411.DOI: 10.1093/ndt/gfv411.
    [10]
    Hu XM,Sang Y,Yang M,et al.Prevalence of chronic kidney disease-associated pruritus among adult dialysis patients:a meta-analysis of cross-sectional studies[J].Medicine(Baltimore),2018,97(21):e10633.DOI: 10.1097/MD.0000000000010633.
    [11]
    Javaid MM,Khan BA,Yeo XEE,et al.Sustained increase in peritoneal dialysis prevalence through a structured PD initiation service[J].Perit Dial Int,2018,38(5):374-376.DOI: 10.3747/pdi.2017.00261.
    [12]
    乔婕,卢丽霞,来小彬,等.终末期肾脏病患者透析方式选择的影响因素[J].中国血液净化,2008,7(7):366-369.DOI: 10.3969/j.issn.1671-4091.2008.07.007.
    [13]
    Li WY,Wang YC,Hwang SJ,et al.Comparison of outcomes between emergent-start and planned-start peritoneal dialysis in incident ESRD patients:a prospective observational study[J].BMC Nephrol,2017,18(1):359.DOI: 10.1186/s12882-017-0764-6.

Catalog

    Article views (296) PDF downloads (331) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return