Determinants Of Diet And Fluid Adherenceamong End Stage Renal Disease Patients Undergoing Haemodialysis At Moi Teachingand Referral Hospital, Uasin Gishu County, Kenya

ABSTRACT

End Stage Renal Disease (ESRD) is a global public health problem. Moi Teaching

and Referral Hospital (MTRH) has over 200 hemodialysis patients with nearly 2/3rd

struggling with dietary and fluid adherence. This study assessed determinants of diet

and fluid adherence among ERSD undergoing hemodialysis at MTRH. A

quantitative cross-sectional study design was conducted from 1st April to 16th May

2018. A sample size of 145 participants who were on HD twice weekly were

conveniently recruited using Fisher’s formula. End stage renal disease adherence

questionnaire (ESRD-AQ) was used for data collection. Chi-square (χ2) was used to

test statistical significance. Frequency tables and bar graphs were used for data

presentation. SPSS version 22.0 was used for data analysis. The study revealed that,

low level of knowledge on fluid adherence was marginally associated with dietary

adherence and fluid adherence. Most participants (71.9%) who were aware of

limiting fluid intake to keep their body healthy practiced fluid intake (p=0.07). A

smaller proportion of participants (62.5%) adhered to diet if they practiced fluid

restrictions all the time (p=0.003). (61.3%) practiced dietary restriction if they

received a health talk every dialysis treatment or every week (p

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