logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Factors influencing dialysis patients'completion of advance directives.

    Article - En anglais

    - Although chronic dialysis patients support the use of advance directives, they rarely complete them.

    We asked 80 chronic dialysis patients (60 receiving in-center hemodialysis and 20 receiving peritoneal dialysis) why they had not completed an advance directive, and gave them the opportunity to complete a dialysis-specific living will and to designate a health care proxy.

    Questionnaires containing the dialysis-specific living will, patient demographic information, and questions about advance directives were distributed during a routine hemodialysis session or peritoneal dialysis clinic visit by a nurse working in the unit.

    Forty-one hemodialysis patients and 14 peritoneal dialysis patients completed the questionnaires (69% response rate).

    The mean age was 53 ± 15 years and the mean time on dialysis was 5 ± 5 years.

    Fifty-eight percent of the patients were women, 57% were white, 67% were hospitalized in the past year, 23% were employed, 70% had children, and 21% lived alone (43% lived with a partner and 11% lived with parents).

    All patients thought advance directives were a good idea, but only 35% had completed one and only seven (14%) had discussed wishes for life-sustaining therapy with their nephrologist ; 34 patients (67%) had discussed their wishes with their family.

    Most said they had not completed an advance directive because their family knew what they would want (12 of 32 patients [38% ]). (...)

    Mots-clés Pascal : Ethique, Relation médecin malade, Milieu familial, Insuffisance rénale, Stade terminal, Refus, Hémodialyse, Influence, Décision, Appareil urinaire pathologie, Rein pathologie, Epuration extrarénale

    Mots-clés Pascal anglais : Ethics, Physician patient relation, Family environment, Renal failure, Terminal stage, Denial, Hemodialysis, Influence, Decision, Urinary system disease, Kidney disease, Extrarenal dialysis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0012214

    Code Inist : 002B27B03. Création : 17/04/1998.