Dialysis Research Paper

This was a descriptive cross-sectional design in which the researcher collected and analysed quantitative data to determine the level of adherence to hemodialysis and associated factors among End Stage Renal Disease patients.The study was conducted in three (3) selected referral dialysis centers in the city center of Kigali, Rwanda.Numerous studies have also revealed that nonadherence is the cause of mortality, frequent hospitals visits, and hospital admissions [12, 13]. [4], missed and shortened dialysis treatment time resulted in physical problems such as hypotension, cramps, fatigue, and clots in access site.

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The increase of ESRD patients necessitates management on dialysis for better outcomes, thus making adherence to prescribed treatment essential [4].

Although kidney transplantation is the best choice of treatment of renal failure, resource constraints and shortage of kidney donations remain an issue [5].

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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. 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. This was a descriptive cross-sectional design involving 41 participants.

Nevertheless, hemodialysis is also expensive but the preferred modality of treatment of ESRD patients in Rwanda [6].

In 2015, Rwanda Demographic Health Survey data showed a projected total population of 11,274,221 people with approximately 84 percent of them living in rural area.Moreover, there are limited studies in Rwanda about adherence to hemodialysis among ESRD.Yet, the health profile of Rwanda 2014 (WHO update) reveals that renal diseases were the fourteenth leading cause of death among 50 top causes of death in Rwanda [14].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. Twenty-one (51%) of ESRD participants adhered highly (scores End Stage Renal Disease (ESRD) is a known increasing public health concern globally [1].Similarly, a study conducted on Zimbabweans showed that more than 50% of patients were not adhering to the scheduled hemodialysis plan.In fact, 93% of the respondents had missed at least one session of HD with 61% missing most of the scheduled sessions.Participants were recruited using a purposive sampling technique.Demographic and adherence to hemodialysis data were collected with the use of structured interview schedules.Eleven percent (11 %) of the patients required extra treatment and 12 % had shortened their sessions.Negative patient outcomes and increased health care expenses as well as workload of the hemodialysis unit are consequences of nonadherence behaviors in ESRD population [12].


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