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首页> 外文期刊>Nephrology nursing journal: journal of the American Nephrology Nurses’ Association >Decisional Needs Assessment to Help Patients with Advanced Chronic Kidney Disease Make Better Dialysis Choices
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Decisional Needs Assessment to Help Patients with Advanced Chronic Kidney Disease Make Better Dialysis Choices

机译：决策需求评估，以帮助晚期慢性肾脏病患者做出更好的透析选择

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摘要

Patients with advanced chronic kidney disease (CKD) face many choices regarding future dialysis modalities. Decision-making is difficult for patients. The objective of this study was to describe the decision-making needs from the perspectives of patients with advanced CKD, professionals, and others involved in the decision. Guided by a shared decision-making model, this qualitative study was conducted using interviews with key informants (17 patients, two peer helpers, and eight health professionals) and a focus group (five nurses). The results revealed evolving decisional needs in five-stage through the decision making journey: 1) Progress toward acceptance of dialysis, 2) Receive information, 3) Take some time for personal reflection, 4) Seek opinion and support of other, and 5) Re-evaluate one's choice. As we anticipate decisional needs, we will be able to develop decision support interventions that are stage-matched.
机译：患有晚期慢性肾脏病（CKD）的患者在未来的透析方式方面面临许多选择。对患者而言，决策是困难的。这项研究的目的是从患有晚期CKD的患者，专业人员以及参与决策的其他人的角度描述决策需求。在共享决策模型的指导下，该定性研究是通过对关键信息提供者（17名患者，两名同伴帮助者和八名卫生专业人员）和一个焦点小组（五名护士）的访谈进行的。结果揭示了在决策过程中五个阶段中不断变化的决策需求：1）接受透析的进展; 2）接收信息; 3）花一些时间进行个人思考; 4）寻求他人的意见和支持; 5）重新评估自己的选择。当我们预期决策需求时，我们将能够开发阶段匹配的决策支持干预措施。

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