Centre for Health Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
Institute of Islam Hadhari, Universiti Kebangsaan Malaysia, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
BMJ Open. 2022 Jun 3;12(6):e059305. doi: 10.1136/bmjopen-2021-059305.
The number of patients in Malaysia requiring dialysis is expected to rise substantially in the future due to the ageing population and increasing prevalence of diabetes mellitus and hypertension. Hence, more individuals will be expected to adopt the role of caregivers in the future. The upward trend of end-stage renal disease (ESRD) and caregiving for dialysis patients has detrimental consequences for both patients and caregivers in terms of their psychological well-being and quality of life. Despite the current circumstances, there are very few studies in Malaysia that have explored the psychosocial factors, specifically on the economic impact of the management of ESRD.
This two-phase sequential explanatory mixed-methods design, incorporating a quantitative design (phase I) and a qualitative study (phase II), is to be conducted in 4 government hospitals and 10 other non-governmental organisations or private dialysis centres within Klang Valley, Malaysia. A cross-sectional survey (phase I) will include 236 patient-caregiver dyads, while focus group discussions (phase II) will include 30 participants. The participants for both phases will be recruited purposively. Descriptive statistics, independent sample t-tests and multiple regression analysis will be used for analyses in phase I, and thematic analysis will be used in phase II.
Approval for the study has been obtained from the National Medical Research and Ethics Committee (MREC) (NMRR-21-1012-59714) and the Research Ethics Committee of Hospital Canselor Tuanku Muhriz UKM (UKM PPI/111/8/JEP-2021-078) and University of Malaya Medical Centre (MREC ID NO: 2 02 178-10346). Informed consent of the participants will be obtained beforehand, and no personal identifiers will be obtained from the participants to protect their anonymity. The findings will be published in peer-reviewed scientific journals and presented at national or international conferences with minimal anonymised data.
由于人口老龄化以及糖尿病和高血压患病率的增加，马来西亚未来需要透析的患者人数预计将大幅增加。因此，未来将有更多的人需要承担照顾者的角色。终末期肾病（ESRD）的上升趋势以及透析患者的护理，对患者和照顾者的心理健康和生活质量都有不利影响。尽管目前情况如此，但马来西亚几乎没有研究探讨过社会心理因素，特别是 ESRD 管理的经济影响。
本研究采用两阶段顺序解释性混合方法设计，包括定量设计（第 I 阶段）和定性研究（第 II 阶段），将在马来西亚雪兰莪州的 4 家政府医院和 10 家其他非政府组织或私人透析中心进行。横断面调查（第 I 阶段）将包括 236 对患者-照顾者，而焦点小组讨论（第 II 阶段）将包括 30 名参与者。两个阶段的参与者都将通过目的抽样招募。第 I 阶段将使用描述性统计、独立样本 t 检验和多元回归分析进行分析，第 II 阶段将使用主题分析。
本研究已获得国家医学研究和伦理委员会（NMRR）（NMRR-21-1012-59714）和 UKM 首相图阿库穆里兹医院研究伦理委员会（UKM PPI/111/8/JEP-2021-078）以及马来亚大学医学中心（MREC ID 号：2 02 178-10346）的批准。将事先获得参与者的知情同意，并且不会从参与者那里获得个人识别码，以保护他们的匿名性。研究结果将发表在同行评议的科学期刊上，并在全国或国际会议上展示，数据最小程度匿名。
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