Effect of Pre-Dialysis Counseling on Knowledge and the Decision to Pursue Renal Replacement Therapy in End-Stage Renal Disease Patients
Keywords:
Counseling Program, Patients with End-Stage Chronic Kidney Disease, Renal Replacement Therapy, Decision to Pursue Renal Replacement TherapyAbstract
The study was a quasi-experimental research conducted to compare the effects of a pre-dialysis counseling program on knowledge and decision-making regarding renal replacement therapy among patients with end-stage chronic kidney disease at the dialysis unit of Songkhla Hospital. Forty patients meeting the inclusion criteria were selected and divided into two groups: an experimental group and a control group, each consisting of 20 participants. The experimental group received the counseling program, while the control group received routine nursing care. Knowledge and decision-making were assessed in both groups before and after the intervention. Data analysis was performed using descriptive statistics, paired t-tests, and independent t-tests.
Findings showed that the experimental group’s mean knowledge score after receiving the program ( =15.05, SD = 1.43) was significantly higher than before the program (
=10, SD = 2.38) and higher than the control group (
=13.80, SD = 1.51) (p < .05). Decision-making acceptance of renal replacement therapy in the experimental group increased to 50% after the program compared to 40% before and 35% in the control group.
The results indicated that the pre-dialysis counseling program effectively improved patients’ knowledge and decision-making regarding renal replacement therapy. The study suggests that nurses and healthcare providers in dialysis units should implement structured counseling for all patients prior to treatment.
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