Abstract
STUDY ON TO EVALUATE THE EFFECTIVENESS OF THE TREATMENT AND LIFESTYLE MODIFICATION IN PATIENTS WITH CHRONIC KIDNEY DISEASE ON MAITANANCE HAEMODIALYSIS
Dr. Hima Bindu, Shaikh Shabaz*, Ananthu R. Krishnan, V. Lal Ruatsanga and Aloof K. P.
ABSTRACT
Background: As Chronic kidney disease is a commonly developing Health issue due to Underlying causes such as hypertension, diabetes, AKI and Also CKD increases the risk of heart attack and stroke, and in some cases can progress to end stage renal disease (ESRD) can be reduced by the early detection and management of risk factors and complications associated with it. The present study aims to study the complications, treatment pattern, knowledge about life style modification and associated outcome in hospitalized CKD patients. Objectives: The main objectives is to evaluate the effectiveness of treatment of Chronic Kidney Disease, lifestyle modification in CKD patients and to educate the patients about the lifestyle modification to improve quality of life. Methods: A prospective observational study was conducted in a tertiary care hospital during six month period in which 110 samples were included Collection of patient details from the patient profile Evaluating the effectiveness of the treatment Counseling the patients regarding the lifestyle modification. Result: In the total sample 85 are males and 25 are females, the study showed male predominance. The most common comorbidity associated were Hypertension in 45% of population followed by Diabetes Mellitus of 17%, 34% of population had complaint of breathlessnesss and lower limb swelling (20%). Monotherapy or combination therapy of diuretics (9%), antidiabetics (3%) and antihypertensives (8%) were used in the management of comorbidities. Serum Creatinine, Serum urea had improved significantly (p<0.001). 77 patients had moderate treatment outcome and 33 patients had mild treatment outcome among the subjects. The subjects with adequate knowledge of lifestyle (58.18%) had moderate symptomatic improvement and the subjects with inadequate knowledge of lifestyle (41.82%) had mild symptomatic improvement in the treatment. Conclusion: Present study highlights the comorbidities, symptoms, treatment pattern and knowledge about life style in Chronic Kidney Disease patient in South India. Treatment was evaluated, this study population with moderate treatment outcome had adequate knowledge of lifestyle and this study population with mild treatment outcome had inadequate knowledge of lifestyle hindering the treatment outcome .Thus, patient counselling on appropriate lifestyle modification in chronic kidney disease patient will result in significant improvement in treatment outcome and improve quality of life. This study helps to reduce the prevalence and mortality associated with CKD in future.
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