Dialysis Research Paper

Dialysis Research Paper-16
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].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].

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Only seven percent had attended to all the hemodialysis sessions as scheduled.

Sixty-seven percent had rescheduled the prescribed hemodialysis sessions more than once [10]. [11], nonadherence to treatment plan among patients with ESRD was problematic with approximately half of patients missing their sessions.

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].

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].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.In Rwanda, like in most of other African countries, there is limited data on the prevalence of ESRD requiring hemodialysis.However, from clinical observations, the number of ESRD patients on hemodialysis was approximately 70 nationwide at the time of the study.The sites included one public hospital and two private settings, all of which are teaching, service, and research centers.Population is defined as all elements, such as individuals, events, or objects that meet the sample criteria for inclusion in a study, sometimes referred to as a target population [14].Similarly, a study conducted on Zimbabweans showed that more than 50% of patients were not adhering to the scheduled hemodialysis plan.In fact, 93% of the respondents had missed at least one session of HD with 61% missing most of the scheduled sessions.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.

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