Study areas | Themes | Sub-themes |
---|---|---|
(A) Factors influencing choice of dialysis modality | 1. Environmental factor | a. Availability and efficiency of support system |
b. Housing and storage space requirements | ||
c. Hygiene and cleanliness requirements | ||
d. Risk of undesirable medical outcomes | ||
2. Family-related factor | a. Burden to the family | |
b. Competency of caregiver | ||
c. Involvement of caregiver | ||
d. Presence of caregiver | ||
3. Financial factor | a. Cost | |
b. Insurance coverage | ||
c. Subsidies | ||
4. Information-related factor | a. Advice obtained | |
b. Information gap | ||
c. Knowledge about modality | ||
5. Personal factor | a. Lack of decisional power | |
b. Perceived convenience | ||
c. Personal belief and preference | ||
d. Self-efficacy | ||
6. Social factor | a. Social connections | |
(B) Perception about HHD | 1. Comfort and convenience | b. Comfort at home |
c. Reduce travel time and cost | ||
2. Freedom and flexibility | a. Better time management | |
b. Greater autonomy | ||
c. Liberation from strict dialysis schedule | ||
d. More frequent dialysis | ||
3. Compromised patient care | a. Inefficient or absence of help seeking platform | |
b. Receiving lower standards of care | ||
c. Slow reaction or inability to react during emergencies | ||
4. Difficulties in self-management | a. Complexity of dialysis procedure | |
b. Fearful of self-needling | ||
c. Low self-efficacy | ||
d. Physiological difficulties | ||
5. Housing space requirement | a. Space for storage | |
(C) Perception about SAHD | 1. Less risky than home modalities | a. Presence of medical professionals |
b. Improved knowledge | ||
2. Changes in resource utilisation | a. Reduced nursing manpower | |
3. Apprehension about self-care | a. Low self-efficacy | |
b. Fearful of self-needling | ||
4. Family and caregiver burden | a. Onerous responsibility imposed on caregivers | |
b. Perceived redundancy of caregiver | ||
c. Wasting caregiver’s time | ||
5. Time-related inflexibilities | a. Inflexible dialysis schedule | |
b. Travel time required |