000			02422nam a22001577a 4500
008			210816b |||||||| |||| 00| 0 eng d
100			_a Paschal, Beatrice _922075 _dCUHAS/BP/3000368/T/16
245			_a Treatment adherence among patients undergoing hemodialysis at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences CUHAS - Bugando _c2020
300			_a31 Pages
300			_aIncludes References and Appendices
520			_aAbstract: 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.
654			_xPharmacy / Undergraduate Dissertation
700			_a Jande, Mary _919709
942			_2ddc _cCR
999			_c21838 _d21838