Evaluation Of The Awareness Of Chronic Kidney Disease Among Patients Receiving Hemodialysis

Abstract

Objectives: Awareness of chronic kidney disease is important for compliance to treatment before the disease progresses to advanced stages. Low patient awareness causes the disease to advance to end-stage renal failure requiring high cost dialysis and kidney transplantation treatments. The objective of this study is to measure the awareness of chronic kidney disease in patients receiving hemodialysis and to assess the correlation of patient awareness with quality of life and depression. Additionally, this study assessed the importance of patient monitoring. Study design: This study is an evaluation and analysis study. Material & Methods: A total of 213 hemodialysis patients from 7 centers in Giresun were enrolled in this study. Awareness, factors affecting awareness, quality of life (SF-36) and the Beck depression index of chronic kidney disease in patients receiving hemodialysis treatment. Results: Of patients, 71.4% (n=152) were monitored by nephrology, 43.2% (n=92) were monitored by dieticians and 10.8% (n=23) were receiving psychological support. The awareness points of patients monitored by dieticians is significantly high compared with that of not under the control of dieticians. Also, the awareness points of patients monitored by nephrology is significantly lower compared with the patients not monitored by nephrology. There was no significant difference between awareness points of those who were receiving psychological support compared to those who were not. Conclusions: Consultations with dieticians may provide positive support to increase the disease awareness of hemodialysis patients. Increasing disease awareness does not create a positive or negative situation in terms of depression and quality of life.

Keywords

• Chronic kidney disease
• Awareness
• Hemodialysis
• Quality of Life
• Depression

References

1. 1. Bodenheimer T, Lorig K, Holman H, Grumbach. Patient self-management of chronic disease in primary care. K JAMA. 2002 Nov 20; 288(19):2469-75.
2. 2. Plantinga LC, Boulware LE, Coresh J, et al. Patient awareness of chronic kidney disease. Trends and Predictors. Arch Intern Med 2008; 168: 2268-75.
3. 3. Bridges, Torrel R., "Awareness, Education, and Prevention of Chronic Kidney Disease in the Older Adult" (2014).Honors Theses.Paper 253.
4. 4. Tuot DS, Plantinga LC, Hsu C, et al. Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction. Clin J Am Soc Nephrol 2011; 6: 1838-44.
5. 5. Süleymanlar G, Utaş C, Arinsoy T, et al. A population based survey of chronic renal disease in Turkey - The CREDIT study. Nephrol Dial Transplant 2011; 26: 1862-71.
6. 6.http://www.nefroloji.org.tr/pdf/Turkiye_Bobrek_Hastaliklari_Onleme_ve_Kontrol_Programi.pdf
7. 7. Seyahi N, Altiparmak MR, Ates K, Trabulus S, Suleymanlar G. Current Status of Renal Replacement Therapy in Turkey: A Summary of Turkish Society of Nephrology 2014 Annual Registry Report. Turk Neph Dial Transpl 2015;24(1): 10-16.
8. 8. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. The reliability and validity of the short form-36(SF-36) Turkish version. Drug and Treatment Journal 1999;12:102-6.

9. 9. Hisli N. The reliability and validity of the Beck Depresion Inventory for university students. Psychology Journal 1989;7:13.
10. 10. Usta Atmaca H, Akbas F, Sak T, Uysal Sak D, Acar S, Niyazoglu M. Consciousness Level and Disease Awareness among Patients with Diabetese. İstanbul Med J 2015; 16:101-4
11. 11. Delphine S. Tuot, Laura C. Plantinga, Chi-yuan Hsu, Regina Jordan, Nilka Ríos Burrows, Elizabeth Hedgeman, Jerry Yee, Rajiv Saran, and Neil R. Powe, for the Centers for Disease Control Chronic Kidney Disease Surveillance Team. Chronic Kidney Disease Awareness Among Individuals with Clinical Markers of Kidney Dysfunction. Clin J Am Soc Nephrol 6: 1838–1844, August, 2011.
12. 12. AlSadhan AA, Hejaili F, Bin Salih S, Level of Dietary Awareness among Saudi Dialysis Patients and the Influence of Various Factors. Saudi J Kidney Dis Transpl 2015;26(3):544-548
13. 13. Oluyombo R, Ayodele OE, Akinwusi PO, Okunola OO, Gbadegesin BA et al. Awareness, knowledge and perception of chronic kidney disease in a rural community of South-West Nigeria. Niger J Clin Pract. 2016 Mar-Apr;19(2):161-9.