Investigation of the reasons for patients who choose peritoneal dialysis as kidney replacement therapies to change their decisions.

ABSTRACT

INTRODUCTION: Peritoneal dialysis (PD) is one of the kidney replacement therapies (KRT). Patients' choice of KRT is influenced by personal causes, familial factors, factors related to healthcare professionals, and social factors. METHODS: This study included 341 patients. PD patients who changed their KRT selection were asked for the reasons to change with a questionnaire. RESULTS: Of the patients who initially chose PD, only 48.5% received KRT by PD. Five (20%) of the patients gave up PD compulsorily because they heard that the risk of infection with PD was higher, eight (40%) thought they could not do it, four (20%) because they needed to do assisted PD but had no relatives to do it, and three (15%) because they had abdominal surgery. CONCLUSION: We believe that the fact that KRT training is carried out by a PD trained team and that patients are provided with assistance for PD will be effective in addressing the concerns of patients with PD undecided.