Decision Making and Self-efficacy in Choosing Renal Replacement Therapy (RRT) Option Among Chronic Kidney Disease Patients Using Individual Cognitive Behavior Therapy (CBT)

Muneswaran Chandaran, and Fatimah Yusooff, and Loh Chek Loong, (2021) Decision Making and Self-efficacy in Choosing Renal Replacement Therapy (RRT) Option Among Chronic Kidney Disease Patients Using Individual Cognitive Behavior Therapy (CBT). International Journal for Studies on Children, Women, Elderly And Disabled, 12. pp. 36-41. ISSN 0128-309X

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Abstract

The patient diagnosed with Chronic Kidney Disease increasing tremendously. There are 5 stages of CKD progression and patient diagnosed with CKD stages 4 and 5 needs to make decision on choosing the Renal Replacement Therapy (RRT) option as lifelong treatment. The RRT comprises of renal transplant, CAPD (Continuous Ambulatory Peritoneal Dialysis) and Haemodialysis. Decision-making and self-efficacy may play a role in choosing these options. Cognitive Behavior Therapy (CBT), as an intervention tool to assist in the decision-making process. The aim is to study the decision making among Chronic Kidney Disease (CKD) patients in choosing Renal Replacement Therapy (RRT) option. This study comprises mixed mode study of quantitative and qualitative study. The sampling method that will be applied is stratified sampling, whereby the patients are selected based on selected criteria. It is a prospective study that includes stages 4-5 CKD patients during Nephrology Clinic review. Demographic, clinical, and number of visit data will be evaluated. A total number of 500 CKD patients will be screened and 200 (100 male and 100 female) CKD patients will be administrated with Shared Decision Making-Q-9 (SDM-Q-9) and Chronic Disease Self-Efficacy scales (CDSES) questionnaire. A total number of 5 patients will be chosen for CBT intervention therapy. The quantitative data of the findings will be analyzed using SPSS through p-value and correlation, where else for qualitative finding the 5 serial individual counseling sessions will be conducted and the session will be recorded and analyzed. The significance of the study is to assist CKD patients in decision making process, reduce delayed decision making leads to hospital administration, increase communication skills between health care worker and CKD patient, develop mutual respect and understanding between CKD patient, CKD patient can identify level of self-efficasy towards the illness, reduce number of regular visit and timing to nephrology clinic, reduce costing of medical treatment, improve patients economy level and increases family unity and support and assisting health care provider in designing effective treatment for the patients. (Abstract by authors)

Item Type: Article
Uncontrolled Keywords: Chronic Kidney disease (CKD), Stage 4 and 5 CKD, Renal Replacement Therapy (RRT), Continuous Ambulatory Peritoneal Dialysis (CAPD), Haemodialysis, Decision making, Self-efficacy, Cognitive Behavioural Therapy (CBT), Health Care Provider (HCP).
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Cluster of Education and Social Sciences
Depositing User: Siti Norfazila Ismail
Date Deposited: 03 May 2021 01:15
Last Modified: 03 May 2021 01:15
URI: http://library.oum.edu.my/repository/id/eprint/1330

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