Perspectives of Chronic Kidney Disease Patients on Readiness for Advance Care Planning at Komfo Anokye Teaching Hospital, Ghana.

Autor:	Boakye AS; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.; Faculty of Palliative Care, Ghana College of Nurses and Midwives, Accra, Ghana., Dzansi G; Faculty of Palliative Care, Ghana College of Nurses and Midwives, Accra, Ghana., Ofosu-Poku R; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Ansah MO; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Owusu AK; Quality Assurance Unit, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Anyane G; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Addai J; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Dzaka AD; Family Medicine Department, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana., Salifu Y; International Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
Jazyk:	angličtina
Zdroj:	The Yale journal of biology and medicine [Yale J Biol Med] 2024 Jun 28; Vol. 97 (2), pp. 115-124. Date of Electronic Publication: 2024 Jun 28 (Print Publication: 2024).
DOI:	10.59249/NZCS6192
Abstrakt:	This study examined the impact of advance care planning (ACP) on the quality of life for patients with chronic kidney disease (CKD) at Komfo Anokye Teaching Hospital in Ghana. It specifically investigated patients' perspectives on their readiness for ACP. Utilizing a qualitative descriptive design, one-on-one interviews were conducted with CKD patients at the renal clinic, employing a semi-structured interview guide for thematic analysis of audio data. The findings revealed a gap in understanding among CKD patients, with participants acknowledging their vulnerability to renal failure, often linked to a medical history of diabetes and hypertension. Despite recognizing potential outcomes such as dialysis dependency or death, some patients retained hope for a cure, relying on faith. The initial kidney failure diagnosis induced shock and distress, leading many patients to prefer the comfort and familiarity of home-based care, including dialysis. Meanwhile, a minority favored hospital care to protect their children from psychological trauma. Most patients deemed legal preparations unnecessary, citing limited assets or a lack of concern for posthumous estate execution. These insights emphasize the necessity for targeted education and support in ACP to enhance patient outcomes in chronic kidney disease care and end-of-life planning. (Copyright ©2024, Yale Journal of Biology and Medicine.)
Databáze:	MEDLINE
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