Min Su Kim, Nathidathip Darach, Dahee Wi, Eleanor Rivera
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引用次数: 0
Abstract
Patients with chronic kidney disease (CKD) often prioritize their quality of life (QOL) over life extension, especially in advanced stages. Although shared decision-making (SDM) positively influences QOL, evidence on this topic remains limited. To address this gap, we conducted a systematic review and synthesized evidence from 12 quantitative studies examining the relationship between SDM and QOL in adults with CKD. We found that SDM enhances QOL by promoting patient autonomy and treatment satisfaction, particularly in conservative management. However, QOL benefits for patients on dialysis were inconsistent due to restrictive treatment pathways. Further, barriers such as insufficient provider training and lack of standardized frameworks, hindered the impact of SDM. Overcoming these challenges with tailored strategies, standardized QOL tools, and longitudinal research could improve outcomes for patients with CKD.
期刊介绍：
The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide.
The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.
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