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首页> 外文期刊>Peritoneal dialysis international: Journal of the International Society for Peritoneal Dialysis >A retrospective survey of attitudes toward acceptance of peritoneal dialysis in Chinese end-stage renal failure patients in Hong Kong--from a cultural point of view.
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A retrospective survey of attitudes toward acceptance of peritoneal dialysis in Chinese end-stage renal failure patients in Hong Kong--from a cultural point of view.

机译：从文化的角度对香港中国终末期肾衰竭患者接受腹膜透析态度的回顾性调查。

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OBJECTIVE: We undertook to study the attitudes toward dialysis of patients approaching end-stage renal failure and to analyze those attitudes from a cultural perspective. SETTING: The study was performed in the pre-dialysis clinic of a tertiary referral renal center. PATIENTS: All patients of Chinese ethnic origin seen in the pre-dialysis clinic from 1995 to 2000 for assessment of dialysis therapy were included. METHOD: We performed a retrospective analysis of patient records with regard to attitudes of the patients toward dialysis, reasons for those attitudes, and factors that could lead to a subsequent change in attitude. RESULTS: We assessed 462 patients over the 6-year period. Their mean age was 65.5 +/- 13.3 years, and 43.9% of the patients had diabetes. Peritoneal dialysis (PD) was offered to 74% of the patients, and hemodialysis (HD) to 3.9%. Among the patients offered PD, only 44% accepted dialysis. After counselling, 54% of the patients who originally declined PD ultimately accepted it. The major reasons for refusing PD were the ideas of "having lived long enough" and lack of family support. counselling. Only a minority of patients demanded hemodialysis. CONCLUSIONS: Declining an offer of dialysis was common. Counselling helped patients to accept PD. Certain cultural elements that hindered acceptance of dialysis were involved in the ideas of "having lived long enough" and lack of family support. specifically during counselling.
机译：目的：我们致力于研究接近终末期肾衰竭的患者对透析的态度，并从文化角度分析这些态度。地点：该研究是在三级转诊肾脏中心的透析前诊所进行的。患者：包括1995年至2000年在透析前诊所就透析治疗进行评估的所有华裔患者。方法：我们对患者记录进行了回顾性分析，涉及患者对透析的态度，态度的原因以及可能导致态度随后发生变化的因素。结果：我们在6年期间评估了462例患者。他们的平均年龄为65.5 +/- 13.3岁，其中43.9％的患者患有糖尿病。 74％的患者进行了腹膜透析（PD），而3.9％的患者进行了血液透析（HD）。在接受PD治疗的患者中，只有44％接受了透析。经过咨询，最初拒绝PD的患者中有54％最终接受了PD。拒绝PD的主要原因是“寿命足够长”和缺乏家庭支持的想法。辅导。只有少数患者需要血液透析。结论：拒绝提供透析是很常见的。咨询帮助患者接受PD。 “生活时间足够长”和缺乏家庭支持的思想涉及某些阻碍接受透析的文化因素。特别是在辅导期间。

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