Effect of Structured Nursing Intervention on Knowledge and Treatment Adherance Among Patients With End Stage Renal Disease in Kano Metropolis
Abstract
Background: Chronic Renal Failure is a progressive irreversible deterioration in renal function in which the body’s power to maintain metabolic, fluid, and electrolyte balance fails, resulting in uremia which contributes to the patient's dependence upon hemodialysis for the maintenance of the internal milieu and to avoid uremia. Patients with end-stage renal disease (ESRD) are characterized by low levels of physical activity and a continuous decline in physical function. The main aim of the study was to assess the effect of structured nursing intervention on treatment adherence among patients with end-stage renal disease in Kano Metropolis.
Methods: This study utilized a two-group pretest-post-test quasi-experimental design. Patients receiving dialysis care at Muhammadu Abdullahi Wase Teaching Hospital and Abubakar Imam Urology Hospital were purposively selected as experimental and control groups respectively. A total of 422 participants were estimated and selected for the study and equally shared among the two groups, i.e. 211 for the control and 211 for the experimental group. All statistical data were analyzed and described using simple frequencies, Chi-square, T-test and regressions.
Results: Regarding treatment adherence, the pre-intervention mean score was 52.9 and 50.00, and the post-intervention score was 73.2 and 54.6 in the intervention and control groups, respectively. The effectiveness of the intervention was tested using unpaired t-test which was found to be significantly effective (p<0.005).
Conclusion: Based on the findings of the study, the structured nursing intervention was effective in improving the level of knowledge regarding the disease and treatment adherence (p<0.005) among patients with end-stage renal disease in the Kano metropolis. It is therefore recommended that the nephrology nurses, hospital administrators, and the general public join hands to make the services accessible and affordable to these patients to maintain their normal life activities through good adherence to the treatment regimen.
Keywords
Full Text:
PDFReferences
Abe, A., & Timothy, A. (2021). Adherence to Haemodialysis Among Chronic Renal Failure Patients of a Tertiary Health Facility , Benin City , Edo State. 18(2), 1–10.
Abo, H. I., Mohga, E., & Mohamed, S. (2015). Effect of an Educational Program on Adherence to Therapeutic Regimen among Chronic Kidney Disease Stage5 ( CKD5 ) Patients under Maintenance Hemodialysis. 6(5), 21–34.
Abubakar Imam Urology Hospital, (2023). Brief History of Abubakar Imam Urology Hospital
Adamu, S. M., Wudil, A. M., Alhassan, A. J., Salihu, M. N., & Koki, Y. A. (2017). Prevalence of Kidney Dysfunction among Orthopaedic Patients in Northwestern Nigeria. 22(4), 1–10. https://doi.org/10.9734/JAMMR/2017/31640
Adib-Hajbaghery, M., & Tahmouresi, M. (2018). Nurse–patient relationship based on the imogene king’s theory of goal attainment. Nursing and Midwifery Studies, 7(3), 141. https://doi.org/10.4103/nms.nms_10_17
Agarwal, W. (2019). Quality of Life and Health Related Quality of Life Among End-Stage Kidney Disease Patients : Methodology Assessment. October. https://doi.org/10.4554966/NRT-7313/100039
Aghoja, O. C., Akonoghrere, R. O., & Odili, V. U. (2020). Quality of life of patients with chronic kidney disease in two health facilities in Delta State , Nigeria. 19(August), 1759–1765.
Ahmed, N. Y., Sherif, W. I., & El-aziz, M. A. (2019). Effect Of Uremic Pruritus Educational Intervention On Knowledge Level. 7(1). https://doi.org/10.345/ijssai2022v02.03.0006
Akokuwebe, M. E., Idemudia, E. S., Campus, M., & Africa, S. (2023). Prevalence and Knowledge of Kidney Disease Risk Factors among Nigerians Resident in Lagos State Metropolitan District , South West Nigeria. 22(1), 18–32. https://doi.org/10.4103/aam.aam
Akpor, O. A., Yakubu, M. O., & Akpor, O. B. (2023). Compliance to Haemodialysis Regimen among End-stage Renal Disease Patients : A Case Study of three Selected Hospitals in Kwara State , Nigeria Abstract : 1–11. https://doi.org/10.2174/1874303X-v16-e230120-2022-14
Alebiosu, C. (2019). An update on progression promoters in Chronic Renal Disease. J Natl Med Assoc. 2019;95:30-42
Alikari, V. (2019). The impact of education on knowledge , adherence and quality of life among patients on haemodialysis. Quality of Life Research, 0(0), 0. https://doi.org/10.1007/s11136-018-1989-y
Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Stathoulis, J., Babatsikou, F., Fradelos, E., & Zyga, S. (2019). The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Quality of Life Research, 28(1), 73–83. https://doi.org/10.1007/s11136-018-1989-y
Aliyu, A. (2020). Assessment of Health-Related Quality of Life of Chronic Kidney Disease Patients in Aminu Kano Teaching Hospital, Kano. https://doi.org/10.4103/njcp.njcp
Anees, M., Batool, S., Imtiaz, M., & Ibrahim, M. (2018). Socio-economic factors affecting quality of life of hemodialysis patients and its effects on mortality. Pakistan Journal of Medical Sciences, 34(4), 811–816. https://doi.org/10.12669/pjms.344.15284
Anees, M., Malik, M. R., Abbasi, T., Nasir, Z., Hussain, Y., & Ibrahim, M. (2014). Demographic factors affecting quality of life of hemodialysis patients. Pakistan Journal of Medical Sciences, 30(5). https://doi.org/10.12669/pjms.305.5239
Anoop S, Ronald K. The association between smoking, heavy drinking and chronic kidney disease. Am J. Epidemiol. 2006;164(3):263-271
Arogundade, A. et.al, (2021) Assessment of risk factors for kidney disease in an unselected population of Nigerians: A report of the routine screening conducted during the National Kidney Disease Awareness and Sensitization Program. Tropical J Nephrol 1(2):2021; 73-80.
Aseem, B. (2018). Prevalence and Risk Factors of Chronic Kidney Disease Among First Degree Relatives of Patients With Chronic Kidney Disease At Aminu Kano Teaching Hospital , Kano . a Dissertation Submitted To the National Postgraduatemedical College of Nigeria in Part Ful. May, 1–90.
Bakarman, M. A., Felimban, M. K., Atta, M. M., & Butt, N. S. (2019). The effect of an educational program on quality of life in patients undergoing hemodialysis in western Saudi Arabia. 40(1), 66–71. https://doi.org/10.15537/smj.2019.1.23401
Bastos, K., Finkelstein, F. O., Pecoits-filho, R., Qureshi, A. R., & Bastos, M. G. (2015). Clinical Practice : Original Paper Impact of Baseline Health-Related Quality of Life Scores on Survival of Incident Patients on Peritoneal Dialysis : A Cohort Study. 330, 97–103. https://doi.org/10.1159/000369139
Bayoumi, M., Harbi, A. Al, Suwaida, A. Al, Ghonaim, M. Al, Wakeel, J. Al, & Mishkiry, A. (2022). of Kidney Diseases and Transplantation Original Article Predictors of Quality of Life in Hemodialysis Patients. 24(2), 254–259.
Bohlke, M., Nunes, D. L., Marini, S. S., Kitamura, C., Andrade, M., & Von-Gysel, M. P. O. (2018). Predictors of quality of life among patients on dialysis in southern Brazil. Sao Paulo Medical Journal, 126(5), 252–256. https://doi.org/10.1590/s1516-31802008000500002
Braimoh, R. W., Busari, A. A., Akinyede, A. A., Ogunsakin, A. J., & Olayemi, S. O. (2023). Assessment of Factors Affecting Treatment Adherence in Patients with Chronic Kidney Disease in Nigeria : A Survey from a Tertiary Health ‑ care Centre. 49–54. https://doi.org/10.4103/NJM.NJM
Bryol, A., Havas, k., Douglas, C., Thepha, T., Bennet, P., & Clark, R. (2023). Self
management Programs in Stage 1-4 Chronic Kidney disease: A literature Review. Journal of Renal Care, 40(3), 194-204. Retrieved December 19, 2023, https://www.ncbi.nlm.nih.gov/m/pubmed
Butt, M. D., Ong, S. C., Butt, F. Z., & Sajjad, A. (2022). Assessment of Health-Related Quality of Life , Medication Adherence , and Prevalence of Depression in Kidney Failure Patients.
Cagney, K. A., Wu, A. W., Fink, N. E., Jenckes, M. W., Meyer, K. B., Bass, E. B., & Powe, N. R. (2020). Formal literature review of quality-of-life instruments used in end- stage renal disease. American Journal of Kidney Diseases, 36(2), 327–336. https://doi.org/10.1053/ajkd.2000.8982
Cavalcante, M. C. V., Lamy, Z. C., Lamy Filho, F., França, A. K. T. da C., dos Santos, A. M., Thomaz, E. B. A. F., da Silva, A. A. M., & Salgado Filho, N. (2021). Factors associated with the quality of life of adults subjected to hemodialysis in a city in northeast Brazil. Jornal Brasileiro de Nefrologia : ’orgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia, 35(2), 79–86. https://doi.org/10.5935/0101-2800.20130014
Cohen, S. (2018).Concept Analysis in the Context of Cardiovascular Risk
Reduction. Nursing Forum, 44(1), 25-36. doi:10.1111/j.176198.2018.00174x
Creswell, W. J. (2009) Research Design, Qualitative, Quantitative and Mixed Method Approaches. Third Edition, University of Nebraska, Lincoln. Los Angeles, United States of America. SAGE
Dsouza, B. (2022). Effect of educational intervention on knowledge and level of adherence among hemodialysis patients – A randomized control Trial.
Dsouza, B., Prabhu, R., Unnikrishnan, B., Ballal, S., Mundkur, S. C., Sekaran, V. C., Shetty, A., & Moreira, P. (2023). Effect of Educational Intervention on Knowledge and Level of Adherence among Hemodialysis Patients : A Randomized Controlled Trial. 2023.
Dzikova, S., Selim, G., Gelev, S., Trajceska, L., Pushevski, V., & Sikole, A. (2013). of Kidney Diseases and Transplantation Original Article Ultrasound Predictors of Compensated Liver Cirrhosis in Hemodialysis Patients with Hepatitis C. Saudi Journal of Kidney Diseases and Transplantation, 24(1), 30–35. www.ebscohost.com
Eckardt, E. J., Ribero, L. C., Chaoubah, A., & Bastos, M. G. (2018). Adherence to Drug Therapy in Kidney Disease. Brazil Journal of Medical Biology Research, 44, 258-268. Retrieved December 10, 2022, from https://www.ncbi.nlm.nih.gov/m/pubmed/2155138/
Faqs, H., Ming, J., & Wong, S. (2019). Enhancing Physical and Psychological Wellbeing of Patients with End-stage Enhancing Physical and Psychological Wellbeing of Patients with End-stage Renal Disease : A Pilot In-hospital Tai Chi Group Intervention in Hong Kong. January. https://doi.org/10.355/ijssai2022.03.0006
Fiseha, T., & Osborne, N. J. (2023). Burden of end-stage renal disease of undetermined etiology in Africa. Renal Replacement Therapy, 9(1), 1–10. https://doi.org/10.1186/s41100-023-00497-w
Fleming, L (2015) Nigeria election: Kano’s Christian exodus. BBC News, Africa. www.bbc.com
Fukuhara, S., Lopes, A. A., Bragg-Gresham, J. L., Kurokawa, K., Mapes, D. L., Akizawa, T., Bommer, J., Canaud, B. J., Port, F. K., & Held, P. J. (2023). Health-related quality of life among dialysis patients on three continents: The Dialysis Outcomes and Practice Patterns Study. Kidney International, 64(5), 1903–1910. https://doi.org/10.1046/j.1523-1755.2003.00289.x
Gebrie, M. H., Asfaw, H. M., Bilchut, W. H., & Lindgren, H. (2023). Health-related quality of life among patients with end-stage renal disease undergoing hemodialysis in Ethiopia : a cross-sectional survey. 1–11.
Gouder, G. W., Remuzzi, G., Mendis, S., & Tonelli, M. (2022). The Contribution of Chronic Kidney Disease to Global burden of Major Noncommunicable Disease. Kidney International, 80(12), 1258-1270. Retrieved December 19, 2021, from https://www.ncbi.nih.gov/m/pubmed/21993585/
Halla, J.and Kira, R. (2020). International comparison of the relationship of chronic kidney disease prevalence and ESRD risk. J Am Soc Nephrol. 2020 ;8:2275–2284
Idii, K., Alebachew, M., Tadesse, Y., & Engidawork, E. (2019). Quality of life and its predictors among patients with chronic kidney disease : A hospital-based cross sectional study. 1–16.
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., . . . Yang, C. W. (2021). Chronic Kidney Disease: Global dimension and Perspectives. Lancet, 382(9888), 260-272. Retrieved December 10, 2022, from https:/ et.com/journal/lancet/lS0140-6736(13)6687- x/abstract
Kamau, E., Kayima, J., Otieno, C., Maritim, M. C., & Wanzala, P. (2012). Health related quality of life of patients on maintenance haemodialysis at kenyatta national hospital. East African Medical Journal, 89(3), 75–81.
Kalantar-Zadeh K, (2018). Reverse epidemiology of cardiovascular risk factors in maintenance dialysis patients. Kidney Int. 2018; 93:793–808
Kidney Disease Improvement Global Outcome, 2014, Clinical practice guidelines for the evaluation and management of chronic kidney disease. Kidney intl suppl.2023;3:1
King, H. and Aubert, R. (2013) Global burden of diabetes:1995-2025.Diabetes Care.;21:1414- 1431
Komolafe, M. O., Temilola, A. B., Tijani, R., & Adewale, O. (2019). Health Related Quality of Life Among Maintenance Hemodialysis Patients and Healthy Pregnant Women : A Comparative Cross-sectional Study. 1–12.
Konstantinidou, E., Koukouvou, G., Kouidi, E., Deligiannis, A., & Tourkantonis, A. (2002). Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs. Journal of Rehabilitation Medicine, 34(1), 40–45. https://doi.org/10.1080/165019702317242695
Kustimah, K., Gimmy, A., Siswadi, P., Djunaidi, A., & Iskandarsyah, A. (2019). Factors Affecting Non-Adherence to Treatment in End Stage Renal Disease ( ESRD ) Patients Undergoing Hemodialysis in Indonesia Abstract : 141–146. https://doi.org/10.2174/1874350101912010141
Lazarus, E. R. (2019a). E ff ectiveness of education and exercise on quality of life among patients undergoing hemodialysis. Clinical Epidemiology and Global Health, 7(3), 402–408. https://doi.org/10.1016/j.cegh.2018.07.003
Lazarus, E. R. (2019b). Effectiveness of education and exercise on quality of life among patients undergoing hemodialysis. Clinical Epidemiology and Global Health, 7(3), 402–408. https://doi.org/10.1016/j.cegh.2018.07.003
Lee, Y. J., Kim, M. S., Cho, S., & Kim, S. R. (2013). Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. International Journal of Clinical Practice, 67(4), 363–368. https://doi.org/10.1111/ijcp.12020
Levy AS, Coresh J, Balk E, et al. National Kidney Foundation Practice guidelines for chronic kidney disease: evaluation, classification and stratification: Ann intern med. 2017;139(2):137-147.
Malekahmadi, M. R., Rahimzadeh, S., Nejad, M. L. D., Lankarani, M. M., Einollahi, B., & Assari, S. (2011). Importance of socioeconomic, clinical, and psychological factors on health-related quality of life in adolescents after kidney transplant. Experimental and Clinical Transplantation, 9(1), 50–55.
Manin, T., Chimera, B., Kamponda, M., & Dreyer, G. (2020). Health Related Quality of Life in Patients with End Stage Kidney Disease Treated with Haemodialysis in Malawi: a Cross Sectional Study. BioMed Central Nephrology, 17(61), 1-8. doi:10.1186/s12882-016-0292-9
Mbeje, N., & Mtshali, N. (2021). Perceived predictors of quality of life in patients with end-stage renal disease on dialysis. Curationis, 44(1), e1–e11. https://doi.org/10.4102/curationis.v44i1.2251
Mingardi, G., Cornalba, L., Cortinovis, E., Ruggiata, R., Mosconi, P., & Apolone, G. (1999). Health-related quality of life in dialysis patients. A report from an Italian study using the SF-36 Health Survey. Nephrology Dialysis Transplantation, 14(6), 1503–1510. https://doi.org/10.1093/ndt/14.6.1503
Mohamed, N. Y., Sherif, W. I., & El-aziz, M. A. (2020). Effect Of Uremic Pruritus Educational Intervention On Knowledge Level. 7(1).
Mohamedi, S., & Mosha, I. H. (2022). Hemodialysis Therapy Adherence and Contributing Factors among End-Stage Renal Disease Patients at Muhimbili National Hospital , Dar es Salaam , Tanzania. 123–130.
Muhammadu Abdullahi Wase Teaching Hospital, (2023). Brief History of Muhammadu Abdullahi Wase Teaching Hospital.
Naderifar, M., Tafreshi, M. Z., Ilkhani, M., & Akbarizadeh, M. R. (2019). Correlation between quality of life and adherence to treatment in hemodialysis patients. 8(1), 22–27. https://doi.org/10.15171/jrip.2019.05
Nalado, A. M., Kano, A., Hospital, T., Abdu, A., Adamu, B., & Aliyu, M. H. (2016). Prevalence of chronic kidney disease markers in Kumbotso , rural Northern Prevlaence of chronic kidney disease markers in Kumbotso , rural Northern Nigeria. May.
National Population Commission. (2010). Dataset 2006 Priority Table. Retrieved December 14, 2020, from http:/www.population.gov.ng/core-activities/survey/dataset
National Kidney Foundation. (2015). Global Facts: About Kidney Disease. Retrieved December 10, 2021, from https:// www.kidney.org/kidneydisease/global-facts- about-kidney-disease.
Nayana, S. A., Balasubramanian, T., Nathaliya, P. M., Nimsha Hussain, P., Mohammed Salim, K. T., & Muhammed Lubab, P. (2017). A cross sectional study on assessment of health related quality of life among end stage renal disease patients undergoing hemodialysis. Clinical Epidemiology and Global Health, 5(3), 148–153. https://doi.org/10.1016/j.cegh.2016.08.005
Obiagwu, P. N., Paed, F., Sangweni, B., Moonsamy, G., Chb, M. B., Sa, F., Khumalo, T., Chb, M. B., Sa, F., Levy, C., Chb, M. B., & Sa, F. (2018). Health-related quality of life in children and adolescents with end-stage renal disease receiving dialysis in Johannesburg. 12(2). https://doi.org/10.7196/SAJCH.2018.v12i2.1457
Odubanjo, M. O., Oluwasola, A. O., & Kadiri, S. (2011). The epidemiology of end-stage renal disease in Nigeria : the way forward. 785–792. https://doi.org/10.1007/s11255-011-9903-3
Okoro, N., Ummate, I., Ohieku, J. D., Yakubu, S. I., & Adibe, O. (2022). Evaluation of the Impact of Clinical Pharmacists ’ Educational Intervention on the Knowledge of Patients with Chronic Kidney Disease. January 2023. https://doi.org/10.52494/KWQH7710
Okunade, K. (2018). Profiles of Sugar Fermenting Bacteria of the Oral Cavity among Children with Dental Caries Attending Stomatology Services at Ruhengeri Referral Hospital in Musanze District, Northern Rwanda. January, 19–26. https://doi.org/10.4103/npmj.npmj
Paes, A., Barbieri, R., Cardoso, Q., & Ferreira Júnior, A. (2023). Chronic Kidney Disease Intervention in Primary Health Care: Integrative Review. Bioscience Journal, 39(Dm), 1–9. https://doi.org/10.14393/BJ-v39n0a2023-62191
Patricia, P., Geoffrey, M., Laurie, C., Steven, P., Jeffrey, M., Wayne, P., & William, H. (2002). Effects of exercise training plus normalization of hematocrit on exercise capacity and health-related quality of life. American Journal of Kidney Diseases, 39(2), 257–265. https://doi.org/10.1053/ajkd.2002.30544
Perlman, L., Finkelstein, F. O., Liu, L., Roys, E., Kiser, M., Eisele, G., Burrows-Hudson, S., Messana, J. M., Levin, N., Rajagopalan, S., Port, F. K., Wolfe, R. A., & Saran, R. (2005). Quality of life in Chronic Kidney Disease (CKD): A cross-sectional analysis in the Renal Research Institute-CKD study. American Journal of Kidney Diseases, 45(4), 658–666. https://doi.org/10.1053/j.ajkd.2004.12.021
Qawaqzeh, A., Masa’deh, R., Hamaideh, S. H., Alkhawaldeh, A., & ALBashtawy, M. (2023). Factors affecting the levels of anxiety and depression among patients with end-stage renal disease undergoing hemodialysis. International Urology and Nephrology, 55(11), 2887–2896. https://doi.org/10.1007/s11255-023-03578-1
Rahdar, Z., Haghighi, M. J., Jahantigh, F., & Mansouri, A. (2019). Probing the Relationship Between Treatment Regimen Compliance and the Quality of Life in Hemodialysis Patients : A Descriptive-Analytic Study. 8(2). https://doi.org/10.5812/msnj.95599.Research
Raimi, T. (2020). Assessment of adherence to treatment regimen among patients with end stage renal disease on haemodialysis in selected tertiary hospital in Kano Metropolis: Results of a questionnaire study. March 2022. https://doi.org/10.5430/jnep.v2n2p52
Reivw, I. (2018). Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease : A Meta-Analysis. 100020, 102–109. https://doi.org/10.1159/000484924
Scientific, T., Journal, N., Okasha, K. M., & Shaban, Z. M. (2021). Adherence of Chronic Renal Failure Patients Undergoing Maintenance Hemodialysis with Their Therapeutic Regimen. 23(4).
Seica, A., Segall, L., Verzan, C., Vǎduva, N., Madincea, M., Rusoiu, S., Cristea, S., Ştefan, M., Şerbǎnescu, D., Moroşanu, P., Grǎjdeanu, L., Andronache, R., Nechita, M., Dragoş, D., Dronca, A., Gusbeth-Tatomir, P., Mircescu, G., & Covic, A. (2009). Factors affecting the quality of life of haemodialysis patients from Romania: A multicentric study. Nephrology Dialysis Transplantation, 24(2), 626–629. https://doi.org/10.1093/ndt/gfn506
Sesso, R., Rodrigues-Neto, J. F., & Ferraz, M. B. (2003). Impact of socioeconomic status on the quality of life of ESRD patients. American Journal of Kidney Diseases, 41(1), 186–195. https://doi.org/10.1053/ajkd.2003.50003
Shahabi, S., Hassan, Z. M., Mahdavi, M., Dezfouli, M., Rahvar, M. T., Naseri, M., & Jazani, N. H. (2007). Ar ch ive Ar ch ive. 11(1), 51–59.
Shan, S., Saleem, C., Mawed, A., & Unruh, M. (2016). Health-Related Quality of Life in End-Stage Renal Disease Patients : How Often Should We Ask and What Do We Do with the Answer ?87106, 218–224. https://doi.org/10.1159/000441462
Soni, R. K., Weisbord, S. D., & Unruh, M. L. (2010). Health-related quality of life outcomes in chronic kidney disease. Current Opinion in Nephrology and Hypertension, 19(2), 153–159.
Sule, A., Odeigah, L., Alabi, K., Issa, B., Shittu, R., Joseph, A., Abiola, O., & Natie, B. (2014). Quality of Life of Patients with Tuberculosis in a Nigerian Teaching Hospital. Turkish Journal of Family Medicine & Primary Care, 8(2), 39. https://doi.org/10.5455/tjfmpc.46982
Theofilou, P. (2021) Self-Reported Functional Status: An Important Predictor of Mental Health Outcome Among Chronic Dialysis Patients. European Journal of Psychological Assessment, Advanced online Publication. doi:10.1327/1015- 5736/a000155
Uwaezuoke, S. N., & Muoneke, V. U. (2015). Role of health-related quality of life assessment in children with chronic kidney disease. Current Pediatric Research, 19(1–2), 45–50.
Valderrabano, F., Jofre, R., & Lopez-Gomez, J. M. (2021). Quality of life in end-stage renal disease patients. American Journal of Kidney Diseases, 38(3), 443–464. https://doi.org/10.1053/ajkd.2001.26824
Vélez-bermúdez, M., Christensen, A. J., Kinner, E. M., & Roche, M. A. A. I. (2019). Exploring the Relationship Between Patient Activation , Treatment Satisfaction , and Decisional Conflict in Patients Approaching End-Stage Renal Disease. 816–826. https://doi.org/10.1093/abm/kay091
Vivekenda, S. (2019). Evaluation and Pharmacist Intervention for Improving Adherence Among Renal Failure Patients. International Journal of Pharmacy and Pharmaceutical Sciences, 7, 3.
Webster, S. (2021). Patients ’ satisfaction with mental health nursing interventions in the Patients ’ satisfaction with mental health nursing interventions in the management of anxiety : Results of a questionnaire study. March 2015. https://doi.org/10.5650/jnep.v2n2p72
Yang, F., Griva, K., Lau, T., Vathsala, A., Lee, E., Ng, H. J., Mooppil, N., Foo, M., Newman, S. P., Chia, K. S., & Luo, N. (2015). Health-related quality of life of Asian patients with end-stage renal disease (ESRD) in Singapore. Quality of Life Research, 24(9), 2163–2171. https://doi.org/10.1007/s11136-015-0964-0
Yong, D. S. P., Kwok, A. O. L., Wong, D. M. L., Suen, M. H. P., Chen, W. T., & Tse, D. M. W. (2009). Symptom burden and quality of life in end-stage renal disease: A study of 179 patients on dialysis and palliative care. Palliative Medicine, 23(2), 111–119. https://doi.org/10.1177/0269216308101099
Yuhara, N. A., & Kristina, S. A. (2020). Quality of life among patients undergoing hemodialysis in Yogyakarta. May.
Yunus, I. M., Bengkulu, H., & Lina, L. F. (2019). Effect Of Education On Life Quality Of Hemodialysis Chronic Kidney Failure Patient. 14(Icihc 2018), 62–65.
Zaripov, S., Turaev, I., & Rakhimov, S. (2023). Assessment of the Quality of Life in Patients With Chronic Kidney Disease in the Practice of Hemodialysis. Journal of Modern Educational Achievements, 6(6), 103–109. https://www.scopusacademia.org/index.php/jmea/article/view/208
Zimbudzi, E., Lo, C., Ranasinha, S., Gallagher, M., Fulcher, G., Kerr, P. G., Russell, G., Teede, H., Usherwood, T., Walker, R., & Zoungas, S. (2016). Predictors of Health-Related Quality of Life in Patients with Co-Morbid Diabetes and Chronic Kidney Disease. 9, 1–12. https://doi.org/10.1371/journal.pone.0168491
DOI: http://dx.doi.org/10.32883/rnj.v7i1.2906
DOI (PDF): http://dx.doi.org/10.32883/rnj.v7i1.2906.g1096
Refbacks
- There are currently no refbacks.
