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Hemodialysis Treatment Scholarly Peer-review Journal | Open Access Journals
Journal of Health & Medical Informatics

Journal of Health & Medical Informatics

ISSN: 2157-7420

Open Access

Hemodialysis Treatment Scholarly Peer-review Journal

Introduction. Worldwide, End Stage Renal Disease (ESRD) has become a public health concern increasing the amount of patients maintained on hemodialysis before 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 work out the extent of adherence to hemodialysis and therefore 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 utilization of structured interview schedules. Descriptive statistics were wont to describe the demographic variables and therefore the level of adherence to hemodialysis. Inferential statistics of chi-square was wont to establish factors related to 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 related to 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 related to adherence to hemodialysis. Conclusion. Adherence to hemodialysis remains a public health concern in Rwanda. Health care providers and particularly nurses should still advocate for adherence to HD for better health outcomes. Further research is required to spot the barriers to HD in Rwanda.

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