DETERMINANTS OF COMPLIANCE TO HEMODIALYSIS AMONG PATIENTS WITH END STAGE KIDNEY DISEASE IN NYERI COUNTY, KENYA
Abstract
Introduction: The aim of this study was to assess the factors associated with compliance to hemodialysis among End Stage Kidney Disease patients in Nyeri county. Compliance with hemodialysis is an important element of successful management of End Stage Kidney Disease. It is the most critical adjustable key elements in improving patient outcomes by ensuring patient comply to hemodialysis.
Methods: A descriptive cross-sectional survey design was employed. The target population for the study was all the End Stage Kidney Disease patients seeking hemodialysis in the five dialysis centers located in Nyeri County, Kenya. The three centers were purposively selected to represent private, public and religious institutions and 67 patients were selected as the sample size for the study. A semi-structured questionnaire, self- administered or interviewer administered was used in data collection. Data obtained was analyzed using a statistical package for social Science (SPSS) version 25.0. Descriptive statistics such as pie chart and frequency tables were used to analyze demographic data. Chi-square was used to determine the association between independent study variables.
Results: The level of compliance to hemodialysis treatment was moderate 53%. The findings showed that patients’ and institutional factors were found to be statistically significant factors in influencing compliance to hemodialysis as indicated by marital status, c2 (2, N=30) = 5.151, p =0.029, income, c2 (4, N=12) = 11.322, p =0.045, and waiting time
c2 (1, N=26) = 3.263, p =0.006.
Conclusion: Marital status, income level and waiting time have a significant association with compliance to hemodialysis in End Stage Kidney Disease patients. Therefore, there exist a gap in compliance to hemodialysis among End Stage Kidney Disease patients on maintenance hemodialysis.
Recommendation: Renal health care providers should ensure patients complete the required number of hours prescribed for each hemodialysis session through effective communication. Adequate information sharing before initiating hemodialysis treatments would be of great importance as this would enhance comprehension on the prescribed session leading to a higher compliance level.
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