Format

Send to

Choose Destination
Indian J Palliat Care. 2019 Jan-Mar;25(1):3-8. doi: 10.4103/IJPC.IJPC_147_18.

Factors Associated with Surrogate Self-Efficacy in Decision-Making for Patients with End-Stage Renal Disease.

Author information

1
La Salle University, Mexican Faculty of Medicine, Mexico City, México.
2
Internal Medicine Department, Nuevo Sanatorio Durango, Mexico City, México.
3
Geriatrics Department, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, México.

Abstract

Aim:

The aim of the study is to assess which factors are associated with self-efficacy for making these decisions in surrogates of end-stage kidney disease patients.

Materials and Methods:

Cross-sectional study conducted in the hemodialysis clinic of a private hospital in Mexico City. A total of 124 surrogates of patients in hemodialysis were included in the study. Self-efficacy for decision-making was assessed with the Family Decision-Making Self-Efficacy Scale. As factors related to decision-making self-efficacy, sociodemographic data, health information, and professional help received for dealing with end-of-life issues were assessed in both patients and surrogates. Functional status and advanced directives of the patient as well as prior experience in decision-making of the surrogates were also included. Logistic regression models were used to establish the associations.

Results:

The mean age of participants was 49.4 years (standard deviation: 14). Factors associated to decision-making self-efficacy were awareness of the surrogate about the terminal disease of the patient (P < 0.001), prior conversation between the surrogate and the patient about end-of-life preferences (P = 0.037), time between the patient was told dialysis was required and accepting it inferior to 1 month (P = 0.016), and visual impairment of the patient (0.040).

Conclusions:

This study provides information of which factors are associated with self-effectiveness in surrogates of terminally ill renal patients so that strategies based on these considerations might be implemented in the future.

KEYWORDS:

Decision-making; self-efficacy; surrogates

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
Loading ...
Support Center