Development of a palliative care model for patients with end-stage chronic kidney disease affecting clinical outcomes and quality of life

Abstract

     This action research, the objective was to study the effect of developing a palliative care model for patients with end-stage chronic kidney disease on clinical outcomes and quality of life. Sample groups include: patients with end stage chronic kidney disease during the research period, there were 15 cases. The characteristics of the sample are patients with end-stage kidney disease who have been screened using the guidelines for screening patients with end-stage kidney failure. Enter palliative care research tools include model of palliative care for patients with end-stage chronic kidney disease. Clinical outcome assessment form for patients with end-stage chronic kidney disease and patient quality of life scale data were analyzed using descriptive statistics. Chi-square test statistics, t-test, and qualitative data were content analyzed. The research results found that development of a model for palliative care for patients with end-stage chronic kidney disease consists of 1) a multidisciplinary team in standard patient care 2) providing knowledge and counseling for behavior change 3) supporting self-management of patients with chronic kidney disease and results of care found after developing a model for palliative care for patients with end-stage chronic kidney disease. The mean clinical outcomes are higher than before development. Statistically significant at the .05 level and the quality of life of patients with palliative end-stage chronic kidney disease. Before development, the level was low. After the development was at a moderate level, increasing with statistical significance at the .05 level.