Differences in Attitude towards End-Of-Life Care among Haemodialysis Patients and their Family Members in Two Malaysian Hospitals

INTRODUCTION: End-of-life (EOL) care has become an important topic of discussion in those with chronic illness, especially End Stage Renal Disease (ESRD) patients on dialysis. This study explored attitudes towards the EOL among haemodialysis and compared them patients’ family members. MATERIALS AND METHODS: The was a cross-sectional descriptive conducted two tertiary hospitals Malaysia. data collected by using survey questionnaire from 164 participants which consisted 82 pairs their relatives. RESULTS: ‘Patient’ ‘family’ groups demonstrated differences preferences regarding options. Family members group favoured cardiopulmonary resuscitation (81.7% vs 41.4%) (p <0.001), endotracheal intubation (80.5% 43.9%) = 0.989) nasogastric tube feeding (87.8% 67%) 0.001) more than themselves. physician most nominated surrogate decision-maker patient (91.5%). Majority (57.3%) felt uncomfortable discussing There significant correlation between duration dialysis where less 5 years CPR (55.9% 31.3%; p 0.026), 35.4%) (82.3% 56.3%; 0.013) to who had been for or longer. CONCLUSION: relatives preferences.