Predictors of Quality of Life of Kidney Donors at Kenyatta National Hospital, Nairobi City County, Kenya
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Date
2021
Authors
Nyarera, Diviner Kemunto
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Background: There‟s an increasing prevalence of End Stage Kidney Disease (ESKD) globally and the disease is an important contributor of morbidity and mortality among these patients. Compared to dialysis Kidney transplantation is well established as the best treatment for restoring quality of life to patients with ESKD. The information regarding living donors‟ QoL has been reported to have a positive influence towards the prospective donor‟s attitude to kidney donation. The aim of the study was to examine the socio-demographic, socio-economic, and psychological and health factors that impact on the donors‟ QoL in Kenya. Aim: The study aimed at assessing QoL of kidney donors after kidney donation at Kenyatta National Hospital. Methodology: This was a descriptive cross-sectional study design of Kidney donors at Kenyatta National Hospital Renal department, between January 2010 and December 2017. A convenience sampling method was used with an anticipated sample size of 105 kidney donors. Data was collected through the use of questionnaires administered directly to individual participants. Data was analyzed using descriptive and inferential analysis. Multiple regression analysis was also applied to identify the predictors of QoL of the kidney donors. Qualitative data was analyzed thematically. Ethical approval was sort from KU and KNH ethics committees before data collection. Results: A total of 99 donors were interviewed, 54.5%, (n=54) were male while 45.5% (n =45) were female. The mean age of the respondents at the time of donation was M =38.65 SD ± 9.04. The QoL of kidney donors in this study was high as represented by 83% of the respondents. The predictors of QoL were, Current monthly income, =24.793, (p 0.05) (QoL-psychological factors), marital status after kidney donation =10.261(p 0.05), Employment status after kidney donation =11.474 (p 0.05) and BMI r(0.835), p<0.05 in health and functioning.Conclusions: the overall quality of life of kidney donors at Kenyatta National Hospital was high. The study concluded that socio-demographic and economic factors particularly, BMI, marital status after kidney donation, current employment and current monthly income had significant contribution towards quality of life of kidney donors at Kenyatta National Hospital. Current employment had a positive significant predictive association with donor‟s quality of life
Description
A research Thesis Submitted in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Science in Nursing (Nephrology) in the School of Nursing, Kenyatta University, May 2021
Keywords
Predictors, Quality of Life, Kidney Donors, Kenyatta National Hospital, Nairobi City County, Kenya