Knowledge on Self-care Management among Chronic Kidney Disease Patients under Hemodialysis in Selected Tertiary Hospitals of Kathmandu
Keywords:Chronic kidney disease, hemodialysis, knowledge, self-care management
Chronic kidney disease (CKD) is an alarming public health problem worldwide many of which needs renal replacement therapy (RRT) and one such modality is maintenance hemodialysis. It needs to be cohered in self-care management as it involves the positive efforts of patients to oversee and participate in their health care in order to optimize health. Thus it aims to assess the knowledge on self-care management among chronic kidney disease patients under hemodialysis.
A descriptive cross- sectional study was carried out at Tertiary hospitals, Kathmandu among 173 hemodialysis patients using non probability, purposive sampling technique. Data was collected through face to face interview with self- made structured questionnaire from June to July, 2018. Self-care management constituted four components like diet and fluid intake, physical activities and exercises, care of fistula and other general management of hemodialysis. Obtained data was analyzed through SPSS version 20 by using descriptive statistics and inferential statistics.
The mean age of respondents was 45.71±14.61years. More than half (61.3%) were male and 81.5% married, 55.5% completed up to SLC level education. Similarly, 40.5% were on hemodialysis for less than one year and majority (79.8%) underwent for hemodialysis twice a week. The overall mean score of knowledge was 60.26±8.90. The mean score of knowledge on diet and fluid intake, physical activities and exercises, care of fistula and other general management of hemodialysis were 62.41±7.70, 47.27±20.59, 68.08±12.43 and 42.69±17.33 respectively. There were significant association between level of knowledge score and educational status and attending educational programme on hemodialysis (p=0.001 and p=0.01).
The study concluded that only few respondents had good level of knowledge on self-care management. Thus, it is immense need to conduct regular educational programme focus on diet and fluid, physical activities and exercise, fistula care and general management of stress and complications.
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