Patients on chronic dialysis were surveyed to determine the degree to which completion of advance directives (ADs) was influenced by personal factors that patients bring to their dialysis situation (eg, demographic characteristics or personal preferences) and by environmental factors that are not under their control (eg, interaction with dialysis staff or hospital system).
Of the 113 questionnaires distributed to the population of 40 hemodialysis and 73 peritoneal dialysis patients, 90 (80%) were completed.
Although only 17% of the respondents had actually completed written ADs previously, respondents seemed to have a good general understanding of ADs, as evidenced by the 80% overall accuracy on a 19-question portion of the survey that tested knowledge regarding ADs.
While a few personal factors, such as gender, dialysis modality, perceived quality of life, and attitude toward death, were associated with completion of ADs, most other demographic variables, including age, marital status, religion, work status, number of years of education, disability status, locus of control, renal diagnosis, and number of years on dialysis, were not correlated.
More prominently correlated with completion of ADs were environmental factors, such as having dialysis staff discuss ADs with patients, patients being asked to complete ADs at the time of hospitalization, and perception of staff as being comfortable discussing ADs with patients.
Mots-clés Pascal : Hémodialyse, Dialyse péritonéale, Homme, Malade, Prise décision, Participation, Attitude, Communication écrite, Milieu hospitalier, Equipe soignante, Relation soignant soigné, Etats Unis, Amérique du Nord, Amérique, Epuration extrarénale
Mots-clés Pascal anglais : Hemodialysis, Peritoneal dialysis, Human, Patient, Decision making, Participation, Attitude, Written communication, Hospital environment, Hospital staff, Health staff patient relation, United States, North America, America, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0184567
Code Inist : 002B30A09. Création : 09/06/1995.