PATIENT FACTORS INFLUENCING THE USE OF PERITONEAL DIALYSIS FOR MANAGEMENT OF END STAGE RENAL DISEASE AT A NATIONAL HOSPITAL IN KENYA
Abstract
ABSTRACT
Introduction: End-stage renal disease is a debilitating condition worldwide. Peritoneal dialysis remains a relatively cheap and an effective renal therapy though, greatly underutilised in management of renal disease patients. Patient factors significantly play a role in its underutilization.
Methods: This was a descriptive correlation study aiming at evaluating patient related factors influencing utilization of peritoneal dialysis in management of end stage renal disease. 109 participants recruited through census method. Semi-structured questionnaire used to collect data. Data analysed, descriptive statistics used to summarize the findings, Chi- square to test for association and logistic regression to determine the predictors for utilization.
Findings: 71(65%) of the patients were not aware of peritoneal dialysis. Statistical significance association (p<0.05) between level of peritoneal dialysis utilization and age groups x2(2,n=108)=58.85, p=.000, marital status x2(1, n=108)=9.860, p=.002 and level of education x2(3,n=108)=10.557, p=0.014. Also occupation x2(3,n=108)=8.42, p=.038, patient knowledge x2(1,n=108)=6.188,p=.013. The predictors were patient level of education (OR 0.914,95%CI 0.008-0.925) and knowledge (OR 0.724,95%CI 0.046-0.793).
Conclusions: Education level and having knowledge on peritoneal dialysis plays a significant role in its utilization. Therefore, health professionals should advocate for peritoneal dialysis services, give pre-dialysis education and individualize treatment.
Keywords: End stage renal disease, Patient factors, Peritoneal dialysis
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