Communication self-efficacy, perceived conversational difficulty, and renal patients' discussions about transplantation.
Communication self-efficacy, perceived conversational difficulty, and renal patients' discussions about transplantation.
复制标题
沟通自我效能、感知的对话困难以及肾脏患者对移植的讨论。
DOI：
10.1016/j.pec.2013.10.012
复制
发表时间：
2014
影响因子：
3.5
通讯作者：
Traino,HeatherM
中科院分区：
文献类型：
--
作者：
Traino,HeatherM
许多患有慢性和终末期肾病（ESRD）的患者报告了启动和管理有关肾移植的讨论的困难，特别是活体供体移植（LDT）。有限的沟通对患者获得移植、透析治疗的持续时间和等待可移植肾脏的时间长短有明显的影响。这项形成性研究旨在确定阻碍ESRD患者讨论移植的具体沟通和对话因素，以指导设计促进移植相关讨论的教育计划。半结构式电话访谈（n= 63）在大西洋中部的一个移植中心进行了等待肾移植的终末期肾病患者。n= 54）的患者报告举行有关移植的讨论，开放式的反应定性分析显示，大多数（66.7%）有有限的对话。患者报告了LDT讨论的各种后勤和内容相关方面的管理困难。中等水平的沟通自我效能感也被发现（平均= 19.2的28）;自我效能感是最高的受访者举行了讨论，并显着相关的处理会话方面的困难程度的感知。ConclusionResults支持全面的沟通技巧培训ESRD患者等待肾transplant.Practice implicationsPotential议题包括在这样的培训进行了讨论。
ObjectiveMany patients with chronic and end-stage renal disease (ESRD) have reported difficulties initiating and managing discussions about kidney transplantation, particularly live donor transplantation (LDT). Limited communication has demonstrable impact on patients’ access to transplantation, the duration of dialysis treatments, and the length of time awaiting a transplantable kidney. This formative study sought to identify the specific communicative and conversational elements impeding ESRD patients’ discussions about transplantation to inform the design of an educational program facilitating transplant-related discussions.MethodsFrom March to July 2012, semi-structured telephone interviews (n= 63) were conducted with ESRD patients waitlisted for kidney transplantation at one mid-Atlantic transplant center.ResultsAlthough 85.7% (n= 54) of patients reported holding discussions about transplantation, qualitative analyses of open-ended responses revealed that the majority (66.7%) had limited conversations. Patients reported difficulties managing a variety of logistical and content-related aspects of LDT discussions. Moderate levels of communication self-efficacy were also found (mean = 19.2 out of 28); self-efficacy was highest among respondents having held discussions and was significantly related to perceived magnitude of difficulty handling conversational aspects.ConclusionResults support comprehensive communication skills training for ESRD patients awaiting kidney transplantation.Practice implicationsPotential topics to be included in such training are discussed.