Wakhungu, Liner2024-09-262024-09-262024-02https://ir-library.ku.ac.ke/handle/123456789/28880A Thesis Submitted In Partial Fulfillment of the Requirement for the Award of the Degree of Master of Science in Nursing (Nephrology) in the School of Health Sciences, Kenyatta University, February 2024. Supervisor 1. Grace Githemo 2. Jonathan WalaChronic kidney disease (CKD) has been ranked as the 17th top cause of worldwide years loss of life and a key cause of deaths rising at a fast rate, having increased by 31.7% from 2005 to 2015. Patients with hypertension and diabetes are at a higher risk of developing CKD. The study objective was to establish the factors that influence CKD preventive practices among diabetes and hypertension patients at Nyeri County Referral Hospital (NCRH). Data was obtained from 190 participants by the use of a questionnaire. Data was analyzed using SPSS and presented using descriptive statistics. Chi-square was used to test for association among variables while logistic regression analysis was used to test for the predictors of CKD prevention uptake. From the findings, 84.2% of the participants had good CKD prevention uptake. Gender  2 (1) = 6.243, p= .012 age  2 (4) = 13.146, p= .011, and income  2 (4) = 25.467, p <0.001 were significantly associated with CKD preventive practice uptake. Health care provider communicating to DM/HTN patients in a language they could understand  2 (2) = 18.102, p<0.001, accessing all the laboratory services within the hospital  2 (2) = 8.469, p=.014 and being able to obtain the prescribed drugs from the hospital pharmacy  2 (2) = 6.361, p=.043 were significantly associated with CKD prevention uptake. The predictors for CKD prevention uptake included gender, income, age, and being well informed about the disease condition. In conclusion the study participants had good CKD prevention practices uptake. Communication with health care providers, accessibility of laboratory services and being informed of the disease conditions influence uptake of CKD. The study recommends that health care providers in Nyeri County Referral Hospital should provide CKD prevention health education program especially to the at-risk population. The health care services should also be made accessible, available and affordable to diabetic and hypertensive patients.enThesis