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KNOWLEDGE AND INTEREST OF PATIENTS OF END STAGE RENAL DISEASE
ABOUT DIALYSIS EFFICICIENCY IN DIALYSIS CENTRE OF MTH FAISALABAD.
Dr. SHAGUFTA KHURSHID MBS FA19 2242
Dr. AZKA ZAREEN MBS FA19 2165
Dr. SAWERA HAMEED MBS FA19 2180
Dr. MARYAM FATIMA MBS FA19 2108
Dr. MUZNA AZIZ MBS FA19 2235
Academic Supervisor
DR ANAYZA SHAHID
MBBS
DEMONSTRATOR
COMMUNITY MEDICINE
Department of Community Medicine

University Medical & Dental College, Faisalabad
INTRODUCTION:
End-stage renal disease (ESRD) affects a multitude of aspects in the daily life of patients. In
dialysis care, patient’s knowledge is a core health-care value. Living with ESRD is a long term
challenge creating a need for sufficient knowledge via education and patient empowerment.
The alarming rise in the incidence of end-stage renal disease is likely to continue if patients
with ESRD lack knowledge of this disease, its management, and practices to support
effective self-management.
A study has demonstrated that majority of the respondents with ESRD were male and above
40 years of age.1 Men and younger patients perceived that they had receieved greater
amount of informations than woman and older patients. 2 When patient were asked about
their general level of knowledge concerning their kidney disease , only 23% of patients
reported having a great deal of knowledge; 35% reported having limited knowledge. 3 Over
the last decade there has been a proliferation of entertainment-education: media based
approaches that deliver health care information.4 Patients affected by end stage renal
disease experience a multitude of disruptions to their daily lives. They experience high a
symptom burden, both physically and mentally. 5 The management of health issues requires
multiple variations in the patients life style. 6 The patients with End stage renal disease
are more prone to sleep disturbances than the general population7.The loss of
muscle mass is much more intensive in older patients of end stage renal disease
(ESRD)8. Patients with ESRD suffers with multifaceted problems arising from
the complications of disease and dialysis that require an effective self-
management9.
World wide the number of the patients with end stage renal disease and the number of
ESRD patients receieving renal replacement therapy is growing. Anemia is a common
problem in ESRD patients.In hemodialysis population treatment improves energy levels,
global functions, mood and stress. Dialysis therapy already consumed reasonable health
services.Dialysis is a procedure that can help patient with end renal disease to increase
quantity and quality of life. However ,there are several risks associated with dialysis which
can lead to the complications in elderly patients. End stage renal disease are globally
emerging as significant problem with increasing morbidity and mortality as well as economic
implication for health care.
End Stage Renal Disease is irreversible and progressive reduction of functioning renal tissue.
So it is important to restore the functioning of kidney through dialysis.
OBJECTIVES:
1. To asses the knowledge of ESRD patients about benefits of dialysis.
2. To determine the benefits and risk factors of dialysis.
3. To asses the knowledge of patient about procedure and method of dialysis.
OPERATIONAL DEFINITION:
ESRD: It is a medical condition in which a person’s kidneys cease functioning on a

permanent basis leading to the need for a long -term dialysis.
Dialysis: It is a procedure to remove waste products and excess fluid from the blood when
the kidneys stop working properly.
METHODOLOGY:
STUDY DESIGN:
This will be a descriptive cross sectional hospital based study .
DURATION OF STUDY:
The study will continue from 17 April to 25 October.
SAMPLE SIZE:
About 50 patients will be included.
SAMPLING TECHNIQUE:
Random sample technique.
SAMPLE SELECTION:
Inclusion criteria:
It includes all adult patients aged 40 years suffering from ESRD.
Exclusion criteria:
Patients with hepatitis infection and any other major surgical intervention in the previous 6
months will be excluded.
DATA COLLECTION PROCEDURE:

Research data will be obtained by Questionnaire.
DATA ANALYSIS:
Data will be analysed through the SPSS latest version.
STUDY TIMELINE AND SCHEDULE:

REFERENCES:
1. Chowdhury TA, Iqbal S, Talukder US, Ananna MA, Bhuiyan AM, Billah M, Rahim
MA, Samad T, Hossain RM. A study on knowledge of patients with end stage renal
disease towards dialysis in a tertiary care hospital in Dhaka city. IMC Journal of
Medical Science. 2017 Mar 22;11(1):11-4.
2. Klang B, Björvell H, Clyne N. Predialysis education helps patients choose dialysis
modality and increases disease‐specific knowledge. Journal of advanced nursing.
1999 Apr;29(4):869-76.
3. Finkelstein FO, Story K, Firanek C, Barre P, Takano T, Soroka S, Mujais S, Rodd K,
Mendelssohn D. Perceived knowledge among patients cared for by nephrologists about
chronic kidney disease and end-stage renal disease therapies. Kidney in
ternational. 2008 Nov 1;74(9):1178-84.
4. Forster M, Allem JP, Mendez N, Qazi Y, Unger JB. Evaluation of a telenovela
designed to improve knowledge and behavioral intentions among Hispanic patients
with end-stage renal disease in Southern California. Ethnicity & health. 2016 Jan
2;21(1):58-70.
5. Årestedt L, Martinsson C, Hjelm C, Uhlin F, Eldh AC. Patient participation in dialysis
care—A qualitative study of patients’ and health professionals’ perspectives. Health
expectations. 2019 Dec;22(6):1285-93.
6. Alikari V, Tsironi M, Matziou V, Tzavella F, Stathoulis J, Babatsikou F, Fradelos E,
Zyga S. The impact of education on knowledge, adherence and quality of life among
patients on haemodialysis. Quality of Life Research. 2019 Jan 15;28:73-83.
7. Parker, K. P., Bliwise, D. L. & Rye, D. B. Hemodialysis disrupts basic sleep

regulatory mechanisms: building hypotheses. Nurs. Res. 49, 327–332
(2000).
8. B. H. Goodpaster, S. W. Park, T. B. Harris et al., “The loss of skeletal
muscle strength, mass, and quality in older adults: the Health,
Aging and Body Composition Study,” Journals of Gerontology A, vol.
61, no. 10, pp. 1059–1064, 2006.
9. GrivaKMooppilNSeetPKrishnanDSPJamesHNewmanSPThe NKF-NUS
hemodialysis trial protocol - a randomized controlled trial to determine the
effectiveness of a self management intervention for hemodialysis
patientsBMC Nephrol201112111121235763

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KNOWLEDGE AND INTEREST OF PATIENTS OF END STAGE RENAL DISEASE

ABOUT DIALYSIS EFFICICIENCY IN DIALYSIS CENTRE OF MTH FAISALABAD.

Dr. SHAGUFTA KHURSHID MBS FA19 2242

Dr. AZKA ZAREEN MBS FA19 2165

Dr. SAWERA HAMEED MBS FA19 2180

Dr. MARYAM FATIMA MBS FA19 2108

Dr. MUZNA AZIZ MBS FA19 2235

Department of Community Medicine

2. To determine the benefits and risk factors of dialysis.

3. To asses the knowledge of patient about procedure and method of dialysis.

ESRD: It is a medical condition in which a person’s kidneys cease functioning on a

DATA COLLECTION PROCEDURE:

STUDY TIMELINE AND SCHEDULE:

7. Parker, K. P., Bliwise, D. L. & Rye, D. B. Hemodialysis disrupts basic sleep

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