Akademik Veri Yönetim Sistemi
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, sa.1, 2024 (SCI-Expanded)
Introduction: End-stage kidney disease patients face a critical decision regarding
kidney replacement therapy options, which include kidney transplantation,
hemodialysis, or peritoneal dialysis (PD). This study aims to evaluate the impact
of nurse-led education (NE) alone vs. NE combined with peer support on the
patients' decision over PD treatment in chronic kidney disease patients.
Methods: The study was conducted between 2018 and 2020, and patients were
prospectively followed for the years 2018–2020. A total of 238 patients were
selected from 500 outpatient clinic patients based on inclusion criteria and the
principle of voluntary participation. Among 238 patients, 112 patients who
received NE plus peer support as well as NE. Generalized linear models (GLM)
analysis was employed to investigate the influence of NE and NE plus peer
support on the decision of PD by patients.
Results: In the NE plus peer support group, 38% were aged 45–59, and 65%
were male. Similarly, in the NE group, 38% were aged 45–59, and 60% were
male. The study utilized GLM to analyze patients' decisions regarding the PD
treatment. Model 1 examined the duration of NE plus peer support (Akaike
Information Criterion [AIC] = 130.46, McFadden's pseudo-R-squared (ρ2) =
0.569), Model 2 focused on the duration of NE (AIC = 294.11, McFadden's
ρ2 = 0.011), Model 3 assessed the sufficiency of NE plus peer support
(AIC = 142.98, McFadden's ρ2 = 0.526), and Model 4 evaluated the sufficiency
of NE alone (AIC = 296.53, McFadden's ρ2 = 0.085).