Missing In-Center Hemodialysis Sessions among Patients with End Stage Renal Disease in Banda Aceh, Indonesia

Abstract

Indonesian universal health coverage was implemented in 2013 and hemodialysis services became universally accessible, yet few studies have examined patient adherence to hemodialysis schedules. We examined the rates of missed in-center hemodialysis sessions in Banda Aceh and the factors associated with non-attendance. This cross-sectional questionnaire survey included 193 patients receiving in-center hemodialysis. Approximately 28% of the patients missed ≥ 1 hemodialysis session in the month prior to the questionnaire’s administration. About 65% reported attending religious activities as the reason for missing hemodialysis. The level of health literacy was generally low with a mean score of 14.38 out of 26 (55.3%). Multivariate logistic regression analyses showed that patients with educational levels higher than elementary school were less likely to miss hemodialysis sessions. Participants who performed more self-care behaviors had lower odds of missing hemodialysis sessions. Every unit increase in the health literacy score was associated with increased odds of missing hemodialysis sessions. Emphasizing the importance of attending hemodialysis sessions and modifying hemodialysis schedules based on patients’ needs is essential. Patients who miss hemodialysis sessions should be reminded of all self-care behaviors. Health literacy among hemodialysis patients should be improved, with emphasis on patient safety, advanced knowledge, and critical health literacy.

Factors influencing self-care management in adult hemodialysis patients: An integrative review

“…In contrast, Liu et al found that a lack of knowledge about kidney disease and the importance of HD treatment led to missed dialysis sessions. 52 Likewise, Rose et al reported that a knowledge deficit among individuals with chronic heart failure was associated with non-participation in a cardiac rehabilitation program. 53 It is important to note that patients’ knowledge is minimal upon the onset of ESRD.…”

The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

“…Similarly, a study revealed that 33% of these patients had poor adherence to fluid restriction 44 . Another study also found that one-fourth of patients with end-stage renal disease had a history of absence from hemodialysis sessions during the past month 45 . Generally speaking, estimations show that non-adherence to medication regimens among these patients varies from 3 to 80% 46 .…”

SPR-Based Sensor for the Early Detection or Monitoring of Kidney Problems

“…The rise in prevalence of kidney diseases such as CKD and ESRD among global public health concerns have resulted in significant problem, which has resulted in several negative consequences, including weakness, swelling, poor sleep, nausea, coma, and eventually death [ 1 – 4 ]. Patients with these complications will require dialysis or a kidney transplant [ 1 , 2 ].…”

“…According to global estimates, approximately 4.902 to 7.083 million people require kidney transplant surgery [ 3 ]. From 2010 to 2017, the number of ESRD and prevalent cases in Indonesia increased significantly, from 9649 to 30831 cases and from 11484 to 77892 cases, respectively [ 4 ]. The kidneys are vital organs that never stop filtering the blood of numerous wastes and toxic substances and removing them via urine while returning essential substances such as vitamins, amino acids, glucose, and hormones to the bloodstream [ 5 ].…”