Decision Making and Self-Efficacy in Choosing Renal Replacement Therapy (RRT) Option among Chronic Kidney Disease Patients

Muneswaran Chandaran, and Fatimah Yusooff, and Mohd Tajudin Md Ninggal , and Wong Huey Siew, (2021) Decision Making and Self-Efficacy in Choosing Renal Replacement Therapy (RRT) Option among Chronic Kidney Disease Patients. In: ICE 2021 : Proceedings of the 2021 International Conference on Education, 20-21 September 2021, Virtual Conference.

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Abstract

The patient diagnosed with Chronic Kidney Disease is 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 a lifelong treatment. The RRT comprises of renal transplant, CAPD (Continuous Ambulatory Peritoneal Dialysis) and Haemodialysis treatment. Decision-making and self-efficacy may play a role in choosing these options. The impact of Covid-19 pandemic may have an impact on the decision making and self-efficacy of CKD patients. The aim of this research is to study the decision making among Chronic Kidney Disease (CKD) patients in choosing Renal Replacement Therapy (RRT) option. This is a quantitative research study. The sampling method applied is stratified sampling, whereby patients are selected based on selected criteria. It is a prospective study that includes stages 4 &5 CKD patients during Nephrology Clinic review. Data on demographic, clinical, and number of visits will be evaluated. A total of 500 CKD patients will be screened and a total of 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. The quantitative data of the findings will be analysed using SPSS through p-value and correlation. The significance of these study is to assist CKD patients in the 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 patients. CKD patients can identify level of self-efficacy towards their illness, reduce number of regular visit and timing to nephrology clinic, reduce the cost 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.

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