Treatment adherence among patients undergoing hemodialysis at Bugando Medical Centre, Mwanza, Tanzania
Paschal, Beatrice CUHAS/BP/3000368/T/16
Treatment adherence among patients undergoing hemodialysis at Bugando Medical Centre, Mwanza, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences CUHAS - Bugando 2020 - 31 Pages Includes References and Appendices
Abstract:
Background: Attendance at Hemodialysis (HD sessions, adherence to prescribed medications, diet recommendations and fluid restriction are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Tanzania. Therefore, this study was carried out to assess adherence to HD sessions, medications, and diet and fluid restrictions.
Methods: A cross-sectional study of HD patients at dialysis unit in Bugando Medical Centre (BMC) was carried out. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ).
Results: A total of 55 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.87 ± 1.60 years. Reported adherence to HD sessions was 69% while that for medications was the highest of 85%. Dietary adherence was 49% while that of fluid restriction adherence was 70% of studies patients. Overall, 36 (65.45%) patients had good adherence, 15(27.27%) had moderate adherence, and 4 (7.27%) had poor adherence behavior. Female patients (70%) had no significantly higher overall adherence scores than male patients (64%) (p=0.818). There was significant correlation between overall perception and overall adherence score (p=0.028). Counseling of patients regarding importance of adherence modalities was lowest for “staying for the entire dialysis time”. Multivariate analysis indicated that elderly male patients who were city residents had higher scores of having higher adherence score.
Conclusion: There was 34. 54% of patients who had overall moderate or poor adherence counseling and education of patients on HD are important to improve therapeutic outcome.
--Pharmacy / Undergraduate Dissertation
Treatment adherence among patients undergoing hemodialysis at Bugando Medical Centre, Mwanza, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences CUHAS - Bugando 2020 - 31 Pages Includes References and Appendices
Abstract:
Background: Attendance at Hemodialysis (HD sessions, adherence to prescribed medications, diet recommendations and fluid restriction are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Tanzania. Therefore, this study was carried out to assess adherence to HD sessions, medications, and diet and fluid restrictions.
Methods: A cross-sectional study of HD patients at dialysis unit in Bugando Medical Centre (BMC) was carried out. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ).
Results: A total of 55 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.87 ± 1.60 years. Reported adherence to HD sessions was 69% while that for medications was the highest of 85%. Dietary adherence was 49% while that of fluid restriction adherence was 70% of studies patients. Overall, 36 (65.45%) patients had good adherence, 15(27.27%) had moderate adherence, and 4 (7.27%) had poor adherence behavior. Female patients (70%) had no significantly higher overall adherence scores than male patients (64%) (p=0.818). There was significant correlation between overall perception and overall adherence score (p=0.028). Counseling of patients regarding importance of adherence modalities was lowest for “staying for the entire dialysis time”. Multivariate analysis indicated that elderly male patients who were city residents had higher scores of having higher adherence score.
Conclusion: There was 34. 54% of patients who had overall moderate or poor adherence counseling and education of patients on HD are important to improve therapeutic outcome.
--Pharmacy / Undergraduate Dissertation