提昇末期腎病患者抉擇腹膜透析意願度之專案

Project to Enhance the Willingness of Patients with End-stage Renal Disease to Choose Peritoneal Dialysis

本專案目的為提昇末期腎臟病患抉擇腹膜透析意願度。腹膜透析病患如有能力自我照護，則能提供病患及家屬較佳生活品質，醫療成本較血液透析低，療效相當。經調查本單位抉擇腹膜透析率偏低僅9.1%，分析原因如下(1)患者未接受衛教，對腹膜透析優缺點不了解(2)透析團體衛教缺乏即時性(3)僅提供衛教單張(4)醫師對衛教時機無統一規範。經專案小組制定專科「透析模式衛教指導作業準則」及舉辦在職教育、增辦「末期腎病透析模式團體衛教」場次、舉辦「透析擬真工作坊」等措施介入後，末期腎病患者抉擇腹膜透析意願度從9.1%上升至15%，達到本專案目的，可提供各醫療機構參考。

 

The purpose of this project is to increase the willingness of end-stage renal patients to choose peritoneal dialysis. Peritoneal dialysis brings patient better quality of life in patient and family have adequate self-care ability, medical costs are lower than hemodialysis, and the efficacy is equivalent. According to the investigation, the rate of peritoneal dialysis chosen by our unit is only 9.1%. The reasons for the analysis are as follows: (1) the patient did not receive health education and did not understand the advantages and disadvantages of peritoneal dialysis (2) the lack of immediacy of the dialysis group health education (3) only provides the health education list (4) the physician has no uniform standard on the timing of health education. After the project team formulated the specialty "Operation Guidelines for Dialysis Model Health Education" and organized on-the-job education, additional "End-stage Renal Disease Dialysis Model Group Health Education" sessions, and organized "dialysis simulation workshop", the willingness of patients with end-stage renal disease choosing peritoneal dialysis has increased from 9.1% to 15%, achieving the purpose of this project and providing reference for medical institutions.