ความพึงพอใจการล้างไตทางช่องท้องและทัศนคติต่อการปลูกถ่ายไตในผู้ป่วยที่เข้าร่วมโครงการ PD First Policy

Jathurong Kittrakulrat; Pavinee Annoppornchai; Onanong Jearnsujitvimol; Krit Pongpirul

Authors

Jathurong Kittrakulrat King Prajadhipok Memorial Hospital
Pavinee Annoppornchai King Prajadhipok Memorial Hospital
Onanong Jearnsujitvimol King Prajadhipok Memorial Hospital
Krit Pongpirul Faculty of Medicine, Chulalongkorn University

Keywords:

PD First Policy, end-stage renal disease, continuous ambulatory peritoneal dialysis, PD treatment satisfaction, attitudes toward kidney transplantation

Abstract

Background & Rationale: The Thai Peritoneal Dialysis First Policy (PD First Policy) has improved survival of end-stage renal disease patients since 2008. However, evidence on patients’ attitudes toward the policy and the accessibility to kidney transplantation (KT) has been lacking. This study aims to assess PD care satisfaction and KT attitude among continuous ambulatory peritoneal dialysis patients under the Thai PD First Policy. Methodology: A telephone questionnaire survey asking demographic data, general opinion on PD First Policy, PD treatment satisfaction, and KT knowledge and attitude was conducted in April 2018 among 114 randomly selected PD patients from PD centers in Chanthaburi. Results: The mean age of PD patients was 54.21 years, and their duration of peritoneal dialysis was 3.42 years on average. Majority of them were satisfied (79.8%) and very satisfied (4.4%) whereas only 2.6% expressed their dissatisfaction. One hundred and six patients (93.0%) agreed with PD First Policy, of which 65.1% stated that this policy had saved their expenses. Of the total 114 patients, only 24.6% had KT knowledge but 73.7% would like to undergo KT. The main motivation for KT was the increased chance of returning to work and contribute to family (88.7%). Conclusions: The Thai PD First Policy has been well received. The perceived need for KT was high. A good strategic plan to improve knowledge on and access to KT is required.

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