[Components of decision-making among hemodialysis patients].
The purpose of this descriptive study was to identify the components of decision-making among the dialysis patients. Subjects were a Convenience sample of hemodialysis patients who agreed to participate this study. The data was collected through semi-structured interviews was recorded on the tape and transcribed. Decision-making episodes were picked and interpreted by researchers. Data was analysed based on the Grounded Theory Approach.


RESULTS
Subject were 21 patients from 4 hospitals. The mean age was 51.1 and the mean duration after the hemodialysis was 9.1 years. The number of episode of decision-making were 136. Six components of decision-making were extracted such as <goal> <recognition of situation> <recognition of self> <choice> <planning> <evaluation>. The subject were making decision by examining and judging the situation and oneself, and then setting the goal. They were selecting situation and themselves. After all, the outcomes of decision-making were evaluating. Seven type of decision-making, erection type, reality-oriented type, elaborate type, dogmatic type, passive type, chance type, resistant type were extracted.


CONCLUSIONS
The factors which were related to the quality of decision-making were discussed such as the ability to examine the reality and control own wishes and needs, and the commitment for the decision-making. The nursing approach to facilitate the patients to make the decision were mentioned.
Nojima
S
S
Kochi Women's University.
Kajimoto
I
I
Hino
Y
Y
Matsumoto
S
S
Miyatake
Y
Y
D003657:Decision Making; D006040:Goals; D006801:Humans; D008875:Middle Aged; D015404:Nursing Methodology Research; D010551:Personality; D006435:Renal Dialysis / Q000523:psychology*; D011795:Surveys and Questionnaires