Prevalence of poor adherence to dialysis sessions and associated factors among patients with chronic kidney disease in Mwanza, Tanzania

Paramjeet, Sandhu. G CUHAS/MD/4001801/T.16

Prevalence of poor adherence to dialysis sessions and associated factors among patients with chronic kidney disease in Mwanza, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences CUHAS - Bugando ©2020 - x; 41 Pages Includes References and Appendices

Abstract:

Introduction: CKD is a major global health problem in which adherence to the dialysis remains as the treatment to prevent the deteriorations of patient’s health. However, these patients tend to have poor adherence to dialysis leading to increased morbidity and mortality. Interventions to improve adherence need to target the associated factors to poor adherence.

Aim: The aim of this study was to investigate prevalence of poor adherence to dialysis sessions and associated factors among patients with Chronic Kidney Disease in Mwanza.

Methods: This was cross-sectional study where convenient sampling techniques was used to patients with Chronic Kidney Disease in Mwanza attending at BMC dialysis unit. Hundred participants were recruited consecutively from November 2020 to January 2021. Data was collected using structured questionnaires. The statistical data analysis was performed through SPSS Version 20.0.

Results: Prevalence for poor adherence was 49% among CKD patients at BMC. Among 49 participants 48.98%, 28.57%, 14.29% and 8.163% had missed sessions (s) at least once, twice, thrice and more than thrice respectively. Risk factors associated with poor adherence was level of education (p-value=0.038). However; gender, age, residence, marital status, employment status, income per month, availability of dialysis centers in clients’ the area, social support, side-effects from dialysis procedures and depression or stress were found not significant to poor adherence.

Conclusion: The finding showed nearly half (49%) of participants had poor adherence to dialysis. This is largely associated with participants’ education level.
= Keywords: Chronic Kidney Disease (CKD); Adherence; Poor adherence; Dialysis.

--Internal Medicine--Biochemistry
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