SELF-CARE ABILITIES OF PATIENTS ON MAINTENANCE HEMODIALYSIS AT KENYATTA NATIONAL HOSPITAL RENAL UNIT, KENYA
Abstract
Introduction: Hemodialysis is a complex treatment that changes normal life of patients, reduces self-care abilities and increases dependence on caregivers. This study aimed at determining the self-care abilities of patients on maintenance hemodialysis at Kenyatta national Hospital.
Methods: A cross-sectional study was adopted. All the 150 patients on maintenance hemodialysis at Kenyatta National Hospital were selected using a census method. Semi-Structured questionnaire was used in data collection. Descriptive statistics were used to describe the characteristics of the participants.
Results. Majority of the patients, 61.7% (f=79) had adequate self-care ability.
The study showed that married patients were more likely to practice AVF site care (OR 1.44, 95% CI 0.671-23.259). Patients with secondary and tertiary education were more likely to follow recommended diet (OR 0.824, 95% CI 0.545-1.739) and (OR 0.428, 95% CI 0.251-0.834) respectively. Those who received social support on vascular access site care were more likely to keep catheter access site clean and dry (OR 5.819, 95% CI 1.05-29.187).
Conclusion and Recommendation: Self-care ability was significantly influenced by marital status, education level, social support and healthcare provider support. It was recommended that health care team to continue offering education on self-care and encourage social support as it has been shown to positively influence self-care abilities among hemodialysis patients
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