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Nephrology (Carlton). 2010 Jun;15(4):464-70. doi: 10.1111/j.1440-1797.2010.01286.x.

Older peoples' satisfaction with home-based dialysis.

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1
Injury Prevention Research Unit, Dunedin School of Medicine, University of Otago, Dunedin Hospital, Dunedin, New Zealand.

Erratum in

  • Nephrology (Carlton). 2010 Aug;15(5):597.

Abstract

BACKGROUND:

The proportion of older people receiving dialysis is rapidly increasing. The typical choice for older patients is between home-based peritoneal dialysis (PD) and clinic-based haemodialysis (HD). Some centres have been successful in encouraging all patients - including older patients - to have home-based self-administered PD or HD.

AIM:

To (i) describe the overall satisfaction with renal services among older patients dialysing, or in training, with HD or PD at home; and (ii) examine the relationship between residential distance from the nephrology unit and satisfaction with home-based dialysis.

METHODS:

Participants were aged 60 years or more; and were either dialysing at home or training for dialysis at home. Two methods of cross-sectional data collection were used: (i) structured quantitative interviews with all participants; and (ii) qualitative interviews with a selected subgroup.

RESULTS:

Participants comprised 45 patients on dialysis (94% of 48 eligible). Their average age was 68 years. Duration of dialysis averaged 28 months (range 3-150 months). Ratings of 'very good or excellent' were reported for dialysis treatment by 40 (89%) patients. Patients on dialysis, despite experiencing frustration with dialysis itself, expressed satisfaction across four categories: staff, information provision, involvement in decision-making and confidence in managing dialysis. Dissatisfaction was infrequent.

CONCLUSION:

This pilot study suggests that older patients trained to dialyse at home using PD or HD are highly satisfied with the nephrology service - even when living remote from the nephrology unit. Home-based dialysis is possible in older patients with levels of comorbidity and disease severity as serious as elsewhere.

[Indexed for MEDLINE]

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