Dialysis Research Paper

Dialysis Research Paper-48
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.

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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].

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].

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.Participants were recruited using a purposive sampling technique.Demographic and adherence to hemodialysis data were collected with the use of structured interview schedules.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 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].There are four (4) dialysis units in Rwanda for which three are in the city center of Kigali and one in the rural setting in the southern province.There are approximately twenty working machines in the three dialysis units in the city center of Kigali and six (6) in the southern province [7].Nevertheless, hemodialysis is also expensive but the preferred modality of treatment of ESRD patients in Rwanda [6].In 2015, Rwanda Demographic Health Survey data showed a projected total population of 11,274,221 people with approximately 84 percent of them living in rural area.


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