Adult Health Nursing

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Browsing Adult Health Nursing by Subject "Assessment, patient satisfaction, care of hemo-dialysis"

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    Assessment of Patient‟s Satisfaction with Hemo Dialysis Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018
    (Addis Ababa University, 2018-06) Ketema Semien; Habte Teshome
    Introduction:-Assessment of patient satisfaction viewed by the scholars as vital and necessary in modern health care due to rising patient satisfaction. It is an important strategy that makes the decision clear and concise about the practices of the care providers. Patient‟s satisfaction is beneficial as an indicator of care values provided by care providers. Patient satisfaction is viewed as a significant and valid measure of efficiency in health care delivery. Objective:-to assess Patients‟ Satisfaction with hemo-dialysis Care at selected dialysis units in Addis Ababa, Ethiopia. Methods:-A cross-sectional facility based quantitative and qualitative mixed methods of research approach were conducted on patients undergoing maintenance hemo-dialysis requiring direct and continuous care. The data was collected from three dialysis units of Government Hospitals which have been providing the service (Saint Paul‟s Hospital, Zewditu Memorial Hospital and Menilik II Referral Hospital, at Addis Ababa from May to April, 2018, Purposive sampling method was used for quantitative because of few number of source population and snow ball sampling method was used for qualitative approach. A total of 121 participants were included in the samples, 113 for quantitative and 8 participants for qualitative data respectively. Data was collected by interviewer administered structured and semi-structured pretested questionnaires was used; data was analyzed using Epi data and SPSS.Bivariate and multivariate logistic regression analyses was undertaken to identify predictors of patient satisfaction. The association between explanatory and dependent variable was reported using odd ratio and its 95% confidence interval. Result:-The overall proportion of participants‟ satisfaction was found to be 41.6%.Majority of the respondents (81.4%) were rated high, nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%).The regression analysis shows that income, educational status, residence and frequency of dialysis were predictors of the overall satisfaction score (p<0.05).the results of qualitative data also supporting the quantitative data, majority of the participants dissatisfied with the general service provided in dialysis units. Conclusion and Recommendation: -low percentages of participants (41.6%) were satisfied concerning care in hemo-dialysis units, the level of satisfaction was lower compared to others studies ,this might be due the scarcity of resource and due to the fact that the service is infant for the country, the care provided in dialysis set up may not fulfill necessary requirements and also health care providers might have a gap in knowing what they have to deliver for their clients, hence; it strongly stressed that there is a great need for clinical practices to be improved in order to fulfill the patients‟ needs, so as to bring a high percentage of satisfaction.