Preparedness for Renal Replacement Therapy Among Ambulant Adult Patients on Chronic Intermittent Haemodialysis in a Referral Hospital in Kenya: Kenyatta National Hospital Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
The prevalence of chronic kidney disease is on the rise locally and globally. The care for patients with chronic kidney disease is multifaceted and multidisciplinary. The study aimed to explore the state of preparedness for renal replacement therapy for patients on chronic intermittent haemodialysis at the Kenyatta National Hospital Nairobi, Kenya. This cross-sectional descriptive study was to document the level of preparedness for renal replacement therapy by the time the patients were initiated on haemodialysis. Despite this contact with health provider before development of end stage kidney disease, 74.4% of the patients were initiated on haemodialysis as emergency (p value 0.001) and 29.3% knew of dialysis as the only modality of renal replacement therapy (p value <0.001). Acute catheters were used by about 85.30% of the patients as the vascular access for initiation of haemodialysis with tunneled catheters use in 13.40% and arteriovenous fistulae use in 1.2% (p value <0.001). Counseling and other supportive services such as health education and nutritional counseling were not optimal was at least 20% of patients gave responses indicating deficiency of information or knowledge in these domains. More than 40% of the patients had not been counseled about kidney transplantation
Authors and Affiliations
Dr. Samuel K. Kabinga, Dr. John N. Ndungu, Prof. Seth O. McLigeyo, Prof. Joshua K. Kayima
Keywords
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- EP ID EP428637
- DOI 10.9790/0853-1712106367.
- Views 27
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