Perceptions and attitudes toward kidney supportive care among Elderly dialysis patients and medical staff in China：A Qualitative Study

Abstract

Abstract Purpose: kidney supportive care is an newly developing palliative care strategy in the field of kidney disease .To measure the cognition and attitude of dialysis doctors, nurses and elderly patients towards supportive care for patients with end-stage renal disease in China, and to provide support for the implementation of this strategy. Methods: With a phenomenological method, this qualitative study used semi-structured interviews to interview 18 elderly dialysis patients and 10 medical staff in two Class ⅲ Grade A hospitals, and Colaizzi's method was used to conduct coding analysis of the interview results. Results : We conducted separate interviews with patients and nurses to refine different themes for different groups.For elderly dialysis patients, three themes emerged：（1）Lack of awareness of access to kidney supportive care（2）Hard to accept the kidney supportive care（3）Willing to use the kidney supportive care.For dialysis medical staff , two themes were analyzed：（1）Kidney supportive care has potential clinical value、（2）Practical promotion and application are faced with multiple difficulties. Conclusions: Our findings provide a comprehensive perspective to measure the recognition of kidney supportive care among patients and medical workers in China.Under the influence of traditional Chinese culture, there are many difficulties in the promotion and application of kidney supportive care in our country.Although the dialysis physicians and nurses expressed the support for kidney supportive care, the patients' Perceptions of this treatment mode was insufficient at present, and it should be further developed based on the actual medical conditions .