Factors related to decision making for non-dialysis in chronic kidney disease stage 5 patients

Abstract

This Case-control study aimed to explore the factors that could be related to decision making in non-dialytic chronic kidney disease stage 5 patients. 104 CKD stage 5 patients in Yangtalad hospital were interviewed by Time frame allocation sampling. Participants were divided to 2 groups (Case: non-dialysis patients and Controls: dialysis patients). Questionnaire was used to collect demographic data and factors that may involve in decision making for non-dialytic patients. The reliability value of the questionnaire was 0.815. Data analysis was conducted inform of Frequency, Percentage, Mean(Standard deviation), Min, Max, Chi-Square test, Odds ratio(OR), 95% Confidence interval and Multiple Logistic Regression.

             Results: The factors that showed significant relationship to decision making in non-dialytic patients are: Age over 65 years(Adjusted OR = 37.87 [95%CI: 4.26-336.35], p-value=0.001) Single/Divorced/Separated status(Adjusted OR = 23.21 [95%CI: 3.02-178.58], p-value=0.003), Patients under universal health coverage scheme(Adjusted OR = 35.02 [95% CI: 1.46-838.45], p-value=0.028), Small household spaces(Adjusted OR = 6.70 [95%CI: 1.08-45.20], p-value= 0.041), Lack of private vehicles(Adjusted OR = 9.06 [95%CI: 1.38-59.38], p-value=0.022), Perceive that dialysis will worsen quality of life(Adjusted OR = 61.56 [95%CI: 1.05-3,629.40], p-value=0.048), Perceive that dialysis will shorten one’s life(Adjusted OR = 53.76 [95%CI: 2.26-1,280.75], p-value=0.014,). Concerning about local needs and problems, more action researches about care system for non-dialytic chronic kidney disease stage 5 patients should be established.