Groome P A, Hutchinson T A, Prichard S S
McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Adv Perit Dial. 1991;7:54-6.
The purpose of this study was to determine which factors are most important in choosing between ESRD treatments and to assess if patients, R.N.'s and M.D.'s agree or differ as to the level of importance of different factors.
22 patients, 11 R.N.'s and 10 M.D.'s were interviewed to determine which factors should be considered. Forty-three factors were identified relevant to CAPD and hemodialysis. Then 14 patients, 8 R.N.'s and M.D.'s were asked to rate each of these factors on a scale of 1-10 (10 being most important) and the average score for each was computed. The factors were then ranked in order of importance (1 being most important). The results revealed that peritonitis ranked as overall the most important factor in determining treatment modality choice. In general, life style considerations ranked higher than medical consequences of a specific therapy. There was concordance amongst the three groups in some areas but there were also differences between patients, R.N.'s and M.D.'s. This raises important issues with regards to the adequacy of patient counselling.
本研究的目的是确定在选择终末期肾病治疗方法时哪些因素最为重要，并评估患者、注册护士和医生在不同因素的重要性程度上是否意见一致或存在差异。
对22名患者、11名注册护士和10名医生进行了访谈，以确定应考虑哪些因素。确定了43个与持续性非卧床腹膜透析和血液透析相关的因素。然后让14名患者、8名注册护士和医生对这些因素中的每一个按1至10分的量表进行评分（10分为最重要），并计算每个因素的平均得分。然后将这些因素按重要性顺序排列（1分为最重要）。结果显示，腹膜炎总体上被列为决定治疗方式选择的最重要因素。一般来说，生活方式方面的考虑因素比特定治疗的医学后果排名更高。三组在某些方面存在一致性，但患者、注册护士和医生之间也存在差异。这就引发了关于患者咨询充分性的重要问题。
