在卢旺达选定的肾内科单位,终末期肾病患者坚持血液透析及其相关因素:一项描述性横断面研究。

IF 2.2 Q1 NURSING Nursing Research and Practice Pub Date : 2018-06-03 eCollection Date: 2018-01-01 DOI:10.1155/2018/4372716
Marie Claire Mukakarangwa, Geldine Chironda, Busisiwe Bhengu, Godfrey Katende
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引用次数: 40

摘要

导读:在世界范围内,终末期肾病(ESRD)已成为一个公共卫生问题,越来越多的患者在肾移植前维持血液透析。不坚持血液透析继续影响ESRD患者的护理,导致发病率和死亡率的高增加。研究目的:本研究的目的是确定卢旺达选定肾内科单位终末期肾病(ESRD)患者血液透析依从性水平及其相关因素。方法:采用描述性横断面设计,涉及41名受试者。参与者是使用有目的的抽样技术招募的。使用结构化访谈时间表收集人口统计学和血液透析依从性数据。描述性统计用于描述人口统计学变量和血液透析依从性水平。采用卡方推断统计法确定与血液透析依从性相关的因素。结果:21名ESRD参与者(51%)高度坚持HD(评分< 80%)。17例(42%)中度坚持(70-79%)HD, 3例(7%)低坚持(低于70%)HD。与血液透析依从性相关的因素有:年龄(平均27岁;95% ci 26.76- 29,17;p = 038)和宗教(95% CI 26.29-60.12, p = 003)。卫生保健工作者关于不错过透析重要性的教育频率(95% CI 26.71-42.56, p = 0.000)、感知到血液透析的相对重要性(95% CI 20.44-27.76, p = 0.020)以及在透析过程中遇到困难的频率(95% CI 20.80-28.36, p = 0.004)与血液透析的依从性显著相关。结论。在卢旺达,坚持血液透析仍然是一个公共卫生问题。卫生保健提供者,特别是护士应继续倡导坚持HD,以获得更好的健康结果。需要进一步研究以确定卢旺达实现艾滋病的障碍。
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Adherence to Hemodialysis and Associated Factors among End Stage Renal Disease Patients at Selected Nephrology Units in Rwanda: A Descriptive Cross-Sectional Study.

Introduction: Worldwide, End Stage Renal Disease (ESRD) has become a public health concern increasing the number of patients maintained on hemodialysis prior to renal transplantation. Nonadherence to hemodialysis continues to impact on the care of ESRD patients, causing high increase in morbidity and mortality.

Purpose of the study: The purpose of this study was to determine the level of adherence to hemodialysis and the associated factors among End Stage Renal Disease (ESRD) patients in selected nephrology units in Rwanda.

Methods: This was a descriptive cross-sectional design involving 41 participants. 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.

Results: Twenty-one (51%) of ESRD participants adhered highly (scores < 80%) to HD. Seventeen (42%) adhered moderately (70-79%) to HD while three (7%) had low level of adherence to HD (below 70%). The factors associated with adherence to hemodialysis were age (mean = 27; 95% CI 26.76-29, 17; p = 038) and religion (95% CI 26.29-60.12, p = 003). Frequencies of education of health care workers about the importance of not missing dialysis (95% CI 26.71-42.56, p = .000), perceived relative importance of hemodialysis (95% CI 20.44-27.76, p = .020), and experiencing difficulties during the procedure (95% CI 20.80-28.36, p = .004) were significantly associated with adherence to hemodialysis. Conclusion. Adherence to hemodialysis is still a public health concern in Rwanda. Health care providers and particularly nurses should continue to advocate for adherence to HD for better health outcomes. Further research is needed to identify the barriers to HD in Rwanda.

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CiteScore
2.90
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发文量
21
审稿时长
19 weeks
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