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Volume 3
Journal of Nursing Research and Practice
Nursing and Heart 2019
April 22-23, 2019
Page 35
Nursing Education and Evidence Based Practice Conference
Heart Conference
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Reem Alhameedi, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C3-007
Pre-dialysis education and information and the relationship to dialysis treatment type in the Kingdom
of Saudi Arabia
Patients with End Stage Renal Disease (ESRD) face major challenges in their lives regarding dialysis therapy for survival,
challenges which includemaking informed treatment choices. No research has been found which investigates what information,
or education, patients in the Kingdom of Saudi Arabia (KSA) receive, nor what factors influence the choices made and
treatments gained. This issue has been the impetus for this survey research that was designed to determine what information
patients in KSA have been given and to identify patients’ perceptions of the factors that influence the treatment they receive.
The data will be used to develop recommendations informing pre-dialysis education for ESRD in KSA.
The questionnaire from the USA study by Mehrotra et al. (2005) was utilised, with additional questions related to patients'
views and recommendations for pre-dialysis education. ESRD patients who were ≥ 18 years and who had been receiving
dialysis, for at least 3 months to 1 year, were recruited from four hospitals in the western region of the KSA.
Ninety-two patients out of 100 patients recruited completed the questionnaire (a response rate of 92%). The majority (61.9%)
of participants were receiving Haemodialysis (HD); 38% received Peritoneal Dialysis (PD). Nearly 20% of patients were not
given any option about which treatment they received, although for many this was for clinical reasons. Almost 60% of patients
were given a delayed treatment option; i.e. they received an option either after their treatment commenced or less than 1 month
before they started dialysis. There was a significant association between participants rating the dialysis education/information
as ‘poor’ or ‘totally inadequate’ and receiving HD (p=0.000) and between patients’ needs for additional information and
treatment type (HD) (p=0.000). Binary logistic regression indicated that having someone at home to help with treatment was
a predictor for patients who opted for PD.
The study provided evidence that just under 20% had no, or delayed, presentation of treatment options. Just over 60% of
patients were placed on HD and generally were not satisfied. Recommendations to improve pre-dialysis education include the
patient’s right to be informed about available treatment options, the provision of more educational materials, and increased
time to be spent on education for patients. The provision should be adjusted according to patients’ needs, level of education,
and consideration made of family involvement in decisions.
Biography
Reem Alhameedi commenced her career as haemodialysis staff nurse in 2001, in King Abdulaziz University Hospital, then as pediatric peritoneal dialysis nurse for four
years. In 2006 become Nurse Educator for dialysis units for four years. Reem appointed as Assistant Director of Nursing for Dialysis Services in King Abdulaziz Univer-
sity Hospital in July 2017. In addition, currently had the role of EDTNA/ERCA brand Ambassador to the KSA since December 2018. She had participated in national and
international nephrology conferences as a speaker and as poster presenter. Also had publication on Pediatric peritoneal Dialysis and Pre dialysis education in KSA. Reem
received her bachelor’s degree in nursing from KingAbdulaziz University in 2000. She completed her Master of Science degree inAdvanced Nursing Practice in 2005 from
the University of Nottingham, UK. Also completed her Doctor of Clinical Practice degree in 2017 from University of Southampton, UK.
reem_alhameedi@yahoo.comReem Alhameedi
King Abdulaziz University, KSA