Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire

• 作者: Albert Pessa Coulibaly Daze Apollinaire Gnionsahe Delphine Amélie Lagou Kan Clément Ackoundou-N’Guessan Luc Nigue Mohamed Ibrahim Alex Moudachirou Monlet Cyr Guei Weu Mélanie Tia
• 来源期刊: 肾脏病(英文)
• 学科: 医学
• 关键词: KIDNEY TRANSPLANTATION ADHERENCE Factors HAEMODIALYSIS C?te d’Ivoire
• 年，卷（期）: szbyw_2017,（3）
• 页码范围: 69-79
• 页数: 11页
• 分类号: R73

摘要

Background: Kidney Transplantation is the best treatment for patients in end stage renal disease. It’s a new therapeutic approach for such patients in Cote d’Ivoire which is expected to develop. Aim: Determine the adherence factors affecting kidney transplant recipient among patients on maintenance haemodialysis in Cote d’Ivoire and point out possible obstacles to the development of this new practice in the country. Patients and Methods: This was a cross-sectional study carried out from May to June 2016 in the Haemodialysis Centres of Abidjan. Any patient aged ≥18 years, on haemodialysis for at least 6 months, who signed the inform consent were subjected to a questionnaire. None of the respondents had been transplanted. The subjects addressed in the document were sociocultural status, opinion related to kidney transplantation and willingness to be transplanted or not and the reasons. A statistical analysis was performed to determine factors associated with kidney transplantation desire. Results: We included 295 (71.53% males) patients, with a mean age of 44.53 ± 12.09 years. Among this population, 36.61% had a higher level of education, 70.85% were Christians, 66.44% lived with partners, 56.61% had no income and 74.92% were treated in Public Health Centres. The median duration on dialysis was 34 months. A total of 287 (97.29%) patients had already heard of kidney transplantation among which 149 (51.94%) for the first time after initiation of haemodialysis. There was 231 (78.31%) patients willing to be transplanted with only 91 (39.39%) of them having a potential living donors. The main motivations were the desire to stop dialysis (52.38%) and the search for a better quality of life (41.13%). Among the 64 (21.69%) patients unfavourable to renal transplantation, 45.31% raised its higher cost compared to haemodialysis. Duration on haemodialysis (>34 months) was significantly higher in patients willing to be transplanted compare to non-applicants (51.95% versus 37.50%, p 34 months) (OR = 2.12 CI: 1.15 - 3.88