@article{oai:naragakuen.repo.nii.ac.jp:00003263,
 author = {Taba, Mari and Morimoto, Tomoko and Taba, Mari and Morimoto, Tomoko},
 journal = {医療福祉情報行動科学研究, Journal of Information and Behavioral Science for Health and Welfare},
 month = {Mar},
 note = {【Purpose】The aim of this study was to clarify the state of discussion regarding terminal-stage dialysis,
advance directive preparation, and opinions of patients and their family members regarding terminal-stage
dialysis to facilitate support for decision-making regarding terminal-stage dialysis by nurses.
【Methods】Study design was a Mixed-method research. Study subjects comprised 948 dialysis patients who
were members of the Kidney Disease Patient Association of Prefecture A, Japan. The response rate was 41.0%
(n = 389), and the valid response rate was 38.8% .(n = 368) We distributed questionnaires to dialysis patients,
that included questions about Patient characteristics, Status of discussion regarding terminal-stage dialysis and
advance directive preparation, and Free response comments regarding terminal-stage dialysis and advance
directive preparation. Results were then analyzed using Pearson’s chi-square test (for small-size samples,
Fisher’s exact test was used). K-J method was used to analyze free comments regarding terminal-stage dialysis.
This study was approved by the institutional review board of Naragakuen University. (approval no: 27-004)
【Result/Consideration】Fewer than 40% of the subjects had discussed terminal-stage dialysis with their family
members, whereas <10% had discussed the issue with a healthcare provider. Moreover, only 3% of the subjects
had prepared an advance directive. When offering support for decision-making regarding terminal-stage dialysis,
nurses should provide necessary information while confirming the health state and current status of patients,
particularly those who have received dialysis for a certain period of time and are interested in terminal-stage
dialysis, as well as informing their family members. In addition, nurses should make adjustments such that
patients can thoroughly discuss terminal-stage dialysis.},
 pages = {13--20},
 title = {Support for Decision-making Regarding Continuing or Suspending Terminal-Stage Dialysis},
 volume = {6},
 year = {2019}
}