Jacinta Wanjiku Chege, Grace Githemo, Lister Onsongo


Introduction: The aim of this study was to assess  the factors associated with compliance to hemodialysis among End Stage Kidney Disease patients in Nyeri county. Compliance with hemodialysis is an important element of  successful  management of End Stage Kidney Disease. It is  the most critical  adjustable key elements in improving  patient outcomes by ensuring patient comply to hemodialysis.

Methods: A descriptive cross-sectional survey design was employed. The target population for the study was all the End Stage Kidney Disease patients seeking hemodialysis in the five dialysis centers located in Nyeri County, Kenya. The three centers were purposively selected to represent private, public and religious institutions and 67  patients were selected as the sample size for the study. A semi-structured questionnaire, self- administered or interviewer administered was used in data collection. Data obtained was  analyzed   using a statistical  package for social Science (SPSS) version 25.0. Descriptive statistics such as pie chart and frequency tables were used to analyze demographic data. Chi-square was used to determine the association between independent study variables.

Results: The level of compliance to hemodialysis treatment was moderate 53%. The findings showed that patients’ and institutional factors were found to be statistically  significant factors  in influencing compliance to hemodialysis  as indicated by marital status, c2 (2, N=30) = 5.151, p =0.029, income, c2 (4, N=12) = 11.322, p =0.045, and waiting time

c2  (1, N=26) = 3.263, p =0.006.

Conclusion:  Marital status, income level and waiting time  have a significant association with compliance to hemodialysis in End Stage Kidney Disease patients.  Therefore, there  exist a gap  in compliance to hemodialysis  among End Stage Kidney Disease patients on maintenance hemodialysis.

Recommendation: Renal health care providers should ensure patients complete the required number of hours prescribed for each hemodialysis session through effective communication.  Adequate information sharing before initiating hemodialysis treatments would be of great importance as this would enhance comprehension on the prescribed session  leading to a higher compliance level.



End Stage Kidney Disease, Hemodialysis, Compliance, Kenya

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