Dialysis Research Paper

Dialysis Research Paper-32
Documented literature reveals that approximately 50% of individuals with ESRD undergoing hemodialysis (HD) were not adhering to their prescribed treatment regimen [8].This is also confirmed by Ibrahim and colleagues, who showed that nonadherence through skipping hemodialysis sessions ranged from 7 to 32% among ESRD patients [9].

Documented literature reveals that approximately 50% of individuals with ESRD undergoing hemodialysis (HD) were not adhering to their prescribed treatment regimen [8].

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Numerous studies have also revealed that nonadherence is the cause of mortality, frequent hospitals visits, and hospital admissions [12, 13]. [4], missed and shortened dialysis treatment time resulted in physical problems such as hypotension, cramps, fatigue, and clots in access site.

Informal observations and clinical experience in Rwandan renal units reveal poor adherence to hemodialysis among ESRD patients.

Descriptive statistics were used to describe the demographic variables and the level of adherence to hemodialysis.

Inferential statistics of chi-square was used to establish factors associated with adherence to hemodialysis. Twenty-one (51%) of ESRD participants adhered highly (scores End Stage Renal Disease (ESRD) is a known increasing public health concern globally [1].

The irreversible advanced CKD leads to End Stage Renal Disease (ESRD) where there is permanent loss of kidney function causing extreme mortality rates among this population [2].

The increasing prevalence of ESRD is similar to the increasing prevalence of type 2 diabetes mellitus which further complicates into ESRD as the total number of people with diabetes is expected to grow from 336 million in 2012 to 522 million in 2030 [3].The increase of ESRD patients necessitates management on dialysis for better outcomes, thus making adherence to prescribed treatment essential [4].Although kidney transplantation is the best choice of treatment of renal failure, resource constraints and shortage of kidney donations remain an issue [5].This was a descriptive cross-sectional design in which the researcher collected and analysed quantitative data to determine the level of adherence to hemodialysis and associated factors among End Stage Renal Disease patients.The study was conducted in three (3) selected referral dialysis centers in the city center of Kigali, Rwanda.Moreover, there are limited studies in Rwanda about adherence to hemodialysis among ESRD.Yet, the health profile of Rwanda 2014 (WHO update) reveals that renal diseases were the fourteenth leading cause of death among 50 top causes of death in Rwanda [14].Therefore, the aim of this study is to determine the level of adherence to hemodialysis and the associated factors among ESRD patients in selected hospitals of Rwanda.This study used a quantitative approach to quantify the level of adherence to hemodialysis and the associated factors to adherence among ESRD population.Eleven percent (11 %) of the patients required extra treatment and 12 % had shortened their sessions.Negative patient outcomes and increased health care expenses as well as workload of the hemodialysis unit are consequences of nonadherence behaviors in ESRD population [12].

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