Development of a psychological support tool aimed to support modality selection of end-stage renal disease

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We aimed to clarify Japanese dialysis patients' subjective evaluations on the advantages and disadvantages of dialysis therapies and the interaction between support of medical staff and patients dependency or autonomy. Interviews of 34 dialysis patients and questionnaire survey of 632 dialysis patients revealed that, for in-center hemodialysis and continuous ambulatory peritoneal dialysis,(1) the advantages and disadvantages of each dialysis treatment were identified,(2) the relationship between mental health and stress coping behaviors were examined,(3) the interaction effect between social support from medical staff and patients psychological attributions(dependency/autonomy on medical staff) had effects on the patients' self-care intention.