TY - JOUR
T1 - Perspectives of Chronic Kidney Disease Patients on Readiness for Advance Care Planning at Komfo Anokye Teaching Hospital, Ghana
AU - Boakye, Abigail S.
AU - Dzansi, Gladys
AU - Ofosu-Poku, Rasheed
AU - Ansah, Michael O.
AU - Owusu, Alfred K.
AU - Anyane, Gladys
AU - Addai, Juliana
AU - Dzaka, Alberta D.
AU - Salifu, Yakubu
N1 - Publisher Copyright:
Copyright ©2024, Yale Journal of Biology and Medicine.
PY - 2024/6/1
Y1 - 2024/6/1
N2 - 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.
AB - 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.
KW - Advance care planning
KW - Chronic kidney disease
KW - Palliative care
KW - Patient-centered care
UR - http://www.scopus.com/inward/record.url?scp=85197651936&partnerID=8YFLogxK
U2 - 10.59249/NZCS6192
DO - 10.59249/NZCS6192
M3 - Article
C2 - 38947103
AN - SCOPUS:85197651936
SN - 1551-4056
VL - 97
SP - 115
EP - 124
JO - The Yale journal of biology and medicine
JF - The Yale journal of biology and medicine
IS - 2
ER -