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Older peoples' satisfaction with home-based dialysis.
Sarah Derrett1, Maryann Darmody, Sheila Williams
1Injury Prevention Research Unit, Dunedin School of Medicine, University of Otago, Dunedin Hospital, Dunedin, New Zealand.
Nephrology (Carlton, Vic.)
|July 9, 2010
Summary
Older adults are highly satisfied with home dialysis (peritoneal dialysis or haemodialysis), even when living far from treatment centers. This indicates home dialysis is a viable option for elderly patients.
Area of Science:
- Nephrology
- Geriatric Medicine
- Public Health
Background:
- Increasing prevalence of dialysis in older populations.
- Common choices for elderly patients: home-based peritoneal dialysis (PD) vs. clinic-based haemodialysis (HD).
- Successful implementation of home-based self-administered PD or HD for all patient age groups.
Purpose of the Study:
- To assess overall satisfaction with renal services among older patients undergoing home dialysis (PD or HD).
- To investigate the correlation between distance from the nephrology unit and satisfaction with home dialysis.
Main Methods:
- Cross-sectional study involving participants aged 60 years and above.
- Participants were either currently on home dialysis or in training for home dialysis.
- Data collected via structured quantitative interviews and qualitative interviews with a subgroup.
Main Results:
- 45 patients (94% of eligible) aged an average of 68 years participated.
- 89% of patients reported 'very good or excellent' ratings for dialysis treatment.
- High satisfaction reported in staff, information, decision-making involvement, and confidence in managing dialysis, despite some frustrations.
Conclusions:
- Older patients trained for home dialysis (PD or HD) report high satisfaction with nephrology services.
- Geographic remoteness from the nephrology unit did not negatively impact satisfaction.
- Home-based dialysis is feasible for older patients with significant comorbidities and disease severity.
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