Shared Decision Making for Selecting of Dialysis Modality and its Relationship with Satisfaction of Treatment among Patients referring to Dialysis Centers affiliated to Tabriz University of Medical Sciences.

Abstract

Abstract: Background: Shared decision making (SDM) is recognized as the gold standard in patient-centered care that can have different consequences. The aim of this study was to assess shared decision making for choosing a dialysis modality and its relationship with patients' satisfaction in patients with chronic kidney disease (CKD). Methods: This is a cross-sectional study that was performed on 300 dialysis patients (218 HD and 82 PD) referred to two Dialysis Centers (Emem Reza and Sina hospitals). Data were collected using shared decision making questionnaire (SDM-Q-9) and renal treatment satisfaction questionnaire (RTSQ). Data collection lasted from February to May 2020. The data were analyzed using SPSS software (ver. 21) ANOVA, independent t-test, and Pearson correlation coefficient were used for data analysis. Results: The mean SDM-Q-9 score in all samples (PD and HD) was 21.94 ±15.08 (in a possible range of 0 to 45). Results of the independent t-test showed that the mean SDM-Q-9 score in PD patients (33.08±11.10) was higher than HD patients (17.74±14.24) (p<0.001). According to the results, there was a positive and significant relationship between the mean score of shared decision making and the mean score of renal treatment satisfaction among dialysis patients (P <0.05). Conclusion: Implementing shared decision making and providing information on RRT should be started in the early stage of CKD. Therefore, it is recommended that the implementation of shared decision making and providing the information on renal replacement therapy should be initiated in the early stage of CKD.