International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 8, Issue 1, pp: (162-169), Month: April 2020 - September 2020, Available at: www.researchpublish.com
KNOWLEDGE REGARDING HAEMODIALYSIS THERAPY AMONG END STAGE RENAL DISEASE PATIENTS AT TEACHING HOSPITAL, BATTICALOA, SRI LANKA Sureshrupan J1, Vijayakuma M 2 Arunprashath S 3 Antony MK 4 , Shanmukanathan S5, Josepha J 6 123456
Faculty of Health-Care Sciences, Eastern University Sri Lanka, Batticaloa, Sri Lanka
Abstract: Chronic kidney disease is a common and rapidly increasing public health problem all over the world, both in developed and developing countries. Majority of the patients with chronic kidney disease on maintenance of haemodialysis are not aware of self-care management such medication, fluid, proper diet intake and regular follow up. This study aimed to assess the knowledge regarding haemodialysis therapy among end stage renal disease patients at Teaching Hospital, Batticaloa (THB), Sri Lanka. This is a hospital based descriptive cross sectional study about knowledge on factors contributing to non-adherence in dialysis patients. Data was collected by interviewer administered questionnaires at Teaching Hospital Batticaloa, Sri Lanka. A total number of 95 CKD patients undergoing haemodialysis in THB between the ages of 21 to more than 60 years were included in our study. The majority of patients were between 41-50 years (37%)]. Among them 50 (53%) were male &45 (47%) were female. There was association between respondents level of self-care knowledge regarding haemodialysis and demographic variables such as Educational status (p=0.001), Monthly income (p=0.002), Duration of dialysis (p=0.003) and Per weekly dialysis (p=0.013).The study provided overall knowledge regarding medication, fluid and diet of CKD patients 51% were found to have moderate knowledge and only 13% had very good knowledge. This result make us aware that patients who are affected with CKD need more awareness regarding proper maintenance on medication, fluid and diet balance who are undergoing dialysis treatment. Keywords: Chronic kidney Disease, Haemodialysis, Knowledge, Medication, Fluid, Diet. 1.
INTRODUCTION
Chronic Kidney Disease (CKD), is a global epidemiological health problem with increasing incidence and prevalence which is estimated prevalence of 8% -16% worldwide and it's rising rapidly on the wave of the epidemics of diabetes and hypertension. Because of that now it is assumed to be another leading cause of mortality and leading to tremendous medical costs [1, 2]. Some studies estimate that the incidence of Chronic kidney disease of unknown etiology (CKDu ) in Sri Lanka has been doubling every four to five years, so that currently 150,000 people are affected by the disease and about 3% of them lose their lives annually [3]. The irreversible advanced CKD leads to End Stage Renal Disease (ESRD) where there is permanent loss of kidney function causing extreme mortality rates among the population [4]. The most recognized common causes of CKD in the developing countries are chronic glomerulonephritis, systemic hypertension, diabetic nephropathy, obstructive uropathy, congenital diseases such as polycystic kidney disease, genetic predisposition, obesity, proteinuria, dyslipidaemia, low birth weight, snake bite, cigarette smoking and heavy metals [5].In Sri Lanka common causes of CKD identified were diabetic nephropathy (30.6%), hypertension (13.2%),
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