Abstract:

Objective To compare the service satisfaction of patients with end-stage renal disease (ESRD) who undergo hemodialysis (HD) and peritoneal dialysis (PD) and explore the factors that influence the service satisfaction. Methods A total of 800 patients from 10 cities of Jiangsu province were selected from March to May, 2013. A self-designed questionnaire of satisfaction was used. And 773 valid questionnaires were returned and the valid return rate was 96.6%. Results ①The differences of gender, primary disease, education level, and health insurance of the HD group and PD group were not statistically significant (P>0.05), while the difference of dialysis duration was statistically significant (P<0.05). ②The evaluation of propaganda and education before dialysis of the PD group was better than that of the HD group and the difference was statistically significant (P<0.05). The evaluation of propaganda and education during follow-up period of the PD group was better than that of the HD group and the difference was statistically significant (P<0.05). ③The differences of effects of 6 influencing factors on the service satisfaction of patients were not statistically significant (P>0.05) according to the results of chi-square test. ④According to 6 influencing factors of service satisfaction, 3 factors were added for the PD group, i.e. the convenience of contacting medical workers by telephone, frequency of the follow-up, and handling of accidents during dialysis. The multivariate linear regression analysis was conducted for both groups and factors that influenced the overall service satisfaction were screened. The results showed that 2 factors of the HD group, i.e. interpretation of questions by doctors and professional competence of nurses, were statistically significant (P<0.05), while 3 factors of the PD group, i.e. interpretation of questions by doctors, professional competence of nurses, and handling of accidents during dialysis were statistically significant (P<0.05). Conclusion ①The overall satisfaction of patients who undergo the PD is higher than that of patients who undergo the HD. ②The propaganda and education of peritoneal dialysis should be enhanced. ③The competence of nursing staff should be improved. ④The services for peritoneal dialysis should be enhanced and this will benefit the promotion of peritoneal dialysis.

Key words: dialysis, patients satisfaction, influencing factors