RP-Department of Nursing Sciences

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Browsing RP-Department of Nursing Sciences by Subject "Kidney transplantation"

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    Patient-Related Factors that Influence Adherence to Post-Kidney Transplant Treatment Among Kidney Allograft Recipients at a National Referral Hospital, Kenya
    (Numid Publishers, 2021) Nyambura, Anne Mumbi
    Introduction: The purpose of this study was to describe patient-related factors that influence adherence to post kidney transplant treatment among kidney allograft recipients at a national referral hospital in Kenya. Adherence to long term immunosuppressive medications determine the success of kidney transplantation. However, non-adherence is a global health concern among this special population. Methods: Descriptive cross-sectional hospital-based study, census sampling method was used with a sample size of 106 kidney allograft recipients. Findings: Almost half 49(46%) of the respondents were non adherent to medication. Majority 43(88%) pointed out that cost of the medicines was the main reason for non- adherence. Among those who adhered, 102(96%) indicated that they had adhered because the quality of their life had improved after kidney transplantation. Age was found to be a statistically significant factor in influencing outcome of adherence as indicated by body mass index (BMI) (x 2(15) = 30.09, p =.012, p<.005). Conclusion: There exists a gap in adherence to medication among the kidney allograft recipients. Cost of medication is an important factor in non-adherence. Recommendations: The health care providers should develop sustainable strategies to curb medication non-adherence. Government should consider National Hospital Insurance Fund cover to all post kidney transplant medicines. Non-governmental organizations should offer financial support to this special population by donating drugs.
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    Quality of Life of Kidney Donors at a National Teaching and Referral Hospital in Kenya
    (Numid Publishers, 2021) Nyarera, Diviner Kemunto; Githemo, Grace; Onsongo, Lister
    Introduction: Kidney transplantation is the best renal replacement therapy for patients with end stage kidney disease. Living kidney donor transplant has better graft and recipient outcome. Information regarding quality of life of kidney donors has a positive influence on a potential donor’s attitude towards kidney donation. The aim of the study was to examine kidney donors’ quality of life in Kenya. Methods: This was a cross-sectional descriptive study design that aimed at examining kidney donors’ quality of life at a national teaching and referral hospital in Kenya. A total of 99 donors participated in the study. Descriptive and inferential statistical tests were used to analyze data. Predictors of quality of life were determined using Multiple regression models. Findings: The findings revealed that majority of the respondents had high quality of life. There was a strong significant relationship between donor’s Body Mass Index and Health Functioning component of QoL r (0.835), p<0.05 with a moderate relationship in Psychological factors r (0.492), p 05. Also there was a statistically significant association between, current monthly income, =24.793, (p 0.05), marital status =10.261 (p 0.05) and employment status =11.474 (p 0.05) and quality of life of kidney donors. Multiple regression analysis revealed that Health functioning quality of life component explained 27.5% of the total variance of quality of life while psychological factors explained 12.5%. Conclusions: The overall quality of life of kidney donors was high. Kidney donor’s employment status had a significant predictive association with their quality of life.