Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria

Simple item page
dc.contributor.advisorNamane, Mosedi
dc.contributor.advisorSamuel Ajayi
dc.contributor.authorAdebayo, Adetayo Jolade
dc.date.accessioned2023-02-21T13:39:04Z
dc.date.available2023-02-21T13:39:04Z
dc.date.issued2022
dc.date.updated2023-01-27T07:08:16Z
dc.description.abstractBackground: Worldwide, end-stage kidney disease (ESKD) is associated with high morbidity and mortality. Currently, the incidence of ESKD in Nigeria is about 1.6% -12.4% and is higher amongst 25-45 year-olds, implying that ESKD indirectly affects the economic productivity of the nation negatively. ESKD is a condition that may progresses rapidly from a chronic to a terminal phase and is responsible for about 2-3% of all hospital admission worldwide while in Nigeria the proportion of admissions is as high as 10%. This high symptom and disease burden of ESKD warrants implementation of a palliative care program that is able to assess and manage the needs of patients with this condition and to support their families. Methods: A descriptive study was undertaken to assess the palliative care needs of patients. A random sample of 110 ESKD patients attending University College Hospital (UCH) Ibadan were interviewed using published standardized and validated questionnaire over a period of 3-months. The questionnaire was a combination of the Integrated Palliative Outcome Scale-Renal Patient Version (IPOS-R) and Hope Spiritual Assessment Tool (HOPE). The socio-demographic characteristics comprising of gender, age, place of residence and knowledge of palliative care were determined. IPOS-R was used to explore the patients' symptom-burden, psychological and social palliative care needs and quality of life while the HOPE was used to explore patients' spiritual needs. Ethical approval was obtained from the relevant organizations. Data was analyzed using the IBM SPSS version 23.0. Results: More than half of the participants (57%) were female, 92% had co-morbidities, 86% had formal education, 60% were self-employed and their median age was 43.5years. Half (51%) reported experiencing severe symptoms and poor quality of life. More than half (50%) of the patients complained of shortness of breath, pain, general body malaise, sore mouth, restless with more than 80% reporting nausea, poor appetite, difficulty in sleeping and weakness. Fifty-three percent reported experiencing anxiety most of the time and reported that their families and friends were worrying about them. The majority (98%) said their source of hope was God. Most patients (93%) said they were not aware of palliative care medicine. Conclusion: There is a huge need for palliative care for patients with ESKD in Nigeria. This study has developed a framework that can be used by a palliative care team, in collaboration with nephrologists, to provide a person-centered care for these patients and their families.
dc.identifier.apacitationAdebayo, A. J. (2022). <i>Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria</i>. (). ,Faculty of Health Sciences ,Department of Medicine. Retrieved from http://hdl.handle.net/11427/36941en_ZA
dc.identifier.chicagocitationAdebayo, Adetayo Jolade. <i>"Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria."</i> ., ,Faculty of Health Sciences ,Department of Medicine, 2022. http://hdl.handle.net/11427/36941en_ZA
dc.identifier.citationAdebayo, A.J. 2022. Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria. . ,Faculty of Health Sciences ,Department of Medicine. http://hdl.handle.net/11427/36941en_ZA
dc.identifier.ris TY - Master Thesis AU - Adebayo, Adetayo Jolade AB - Background: Worldwide, end-stage kidney disease (ESKD) is associated with high morbidity and mortality. Currently, the incidence of ESKD in Nigeria is about 1.6% -12.4% and is higher amongst 25-45 year-olds, implying that ESKD indirectly affects the economic productivity of the nation negatively. ESKD is a condition that may progresses rapidly from a chronic to a terminal phase and is responsible for about 2-3% of all hospital admission worldwide while in Nigeria the proportion of admissions is as high as 10%. This high symptom and disease burden of ESKD warrants implementation of a palliative care program that is able to assess and manage the needs of patients with this condition and to support their families. Methods: A descriptive study was undertaken to assess the palliative care needs of patients. A random sample of 110 ESKD patients attending University College Hospital (UCH) Ibadan were interviewed using published standardized and validated questionnaire over a period of 3-months. The questionnaire was a combination of the Integrated Palliative Outcome Scale-Renal Patient Version (IPOS-R) and Hope Spiritual Assessment Tool (HOPE). The socio-demographic characteristics comprising of gender, age, place of residence and knowledge of palliative care were determined. IPOS-R was used to explore the patients' symptom-burden, psychological and social palliative care needs and quality of life while the HOPE was used to explore patients' spiritual needs. Ethical approval was obtained from the relevant organizations. Data was analyzed using the IBM SPSS version 23.0. Results: More than half of the participants (57%) were female, 92% had co-morbidities, 86% had formal education, 60% were self-employed and their median age was 43.5years. Half (51%) reported experiencing severe symptoms and poor quality of life. More than half (50%) of the patients complained of shortness of breath, pain, general body malaise, sore mouth, restless with more than 80% reporting nausea, poor appetite, difficulty in sleeping and weakness. Fifty-three percent reported experiencing anxiety most of the time and reported that their families and friends were worrying about them. The majority (98%) said their source of hope was God. Most patients (93%) said they were not aware of palliative care medicine. Conclusion: There is a huge need for palliative care for patients with ESKD in Nigeria. This study has developed a framework that can be used by a palliative care team, in collaboration with nephrologists, to provide a person-centered care for these patients and their families. DA - 2022_ DB - OpenUCT DP - University of Cape Town KW - Palliative care KW - End-Stage Kidney Disease (ESKD) KW - Integrated Palliative Outcome Scale (IPOS) KW - Nigeria LK - https://open.uct.ac.za PY - 2022 T1 - Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria TI - Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria UR - http://hdl.handle.net/11427/36941 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36941
dc.identifier.vancouvercitationAdebayo AJ. Assessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria. []. ,Faculty of Health Sciences ,Department of Medicine, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36941en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.subjectPalliative care
dc.subjectEnd-Stage Kidney Disease (ESKD)
dc.subjectIntegrated Palliative Outcome Scale (IPOS)
dc.subjectNigeria
dc.titleAssessing the palliative care needs of end stage kidney disease patients in a tertiary hospital in Nigeria
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMPhil
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
thesis_hsf_2022_adebayo adetayo jolade.pdf
Size:
2.35 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Masters