TIMOTHY EHWARIEME

The study was conducted to assess the adherence to aemodialysis and associated factors among end stage renal disease patients in Nephrology unit in a tertiary facility in Benin. The objectives of the study were to ascertain the knowledge of the importance of haemodialysis among ESRD patients, to ascertain the level of adherence to haemodialysis and associated factors by ESRD patients. A descriptive cross sectional survey design was used for the study. The sample of the study consisted of the two hundred patients attending a nephrology unit in tertiary hospital in Benin. The researcher used a standardized instrument known as the End stage renal disease adherence questiinaire (ESRD-AQ) by Kim et al 2010, was administered to the patients and all (200) questionnaires were retrieved. Demographic data was analyzed using descriptive statistics – frequency and percentage, chi-square were used to test for relationship between level of adherence to haemodialysis and level of knowledge, independent samples t-test was used to test the significant difference been level of adherence and gender, multiple logistic regression was used to predict the association between the level of adherence and socio-demographic variables. Majority of the respondents have low knowledge on the importance of haemodialysis. The study showed that most of the respondents 73.5% have low level of adherence to haemodialsys, 20% have moderate level of adherence while 6% of the respondents have high level of adherence to haemodialysis. Factors associated with adherence to aemodialysis is lack of transportation, financial constraint,forgetfulness etc. There is an association (p<0.05) between the level of adherence and level of knowledge. There is no significant difference (p<0.5) between the level of adherence and gender. There is an association (p<0.5) between the level of adherence and socio-demographic characteristics. The study recommended that there is the need for structured teaching programme that will improve the knowledge of patients undergoing hemodialysis regarding dietary management and skin care in renal failure thereby preventing life threatening complication and prolonging their life.

The study was conducted to assess the adherence to haemodialysis and associated factors among end stage renal disease patients in Nephrology unit in a tertiary facility in Benin. The objectives of the study were to ascertain the knowledge of the importance of haemodialysis among ESRD patients, to ascertain the level of adherence to haemodialysis and associated factors by ESRD patients. A descriptive cross sectional survey design was used for the study. The sample of the study consisted of the two hundred patients attending a nephrology unit in tertiary hospital in Benin. The researcher used a standardized instrument known as the End stage renal disease adherence questiinaire (ESRD-AQ) by Kim et al 2010, was administered to the patients and all (200) questionnaires were retrieved. Demographic data was analyzed using descriptive statistics – frequency and percentage, chi-square were used to test for relationship between level of adherence to haemodialysis and level of knowledge, independent samples t-test was used to test the significant difference been level of adherence and gender, multiple logistic regression was used to predict he association between the level of adherence and socio-demographic variables. Majority of the respondents have low knowledge on the importance of haemodialysis. The study showed that most of the respondents 73.5% have low level of adherence to haemodialsys, 20% have moderate level of adherence while 6% of the respondents have high level of adherence to haemodialysis. Factors associated with adherence to haemodialysis is lack of transportation, financial constraint,forgetfulness etc. There is an association (p<0.05) between the level of adherence and level of knowledge. There is no significant difference (p<0.5) between the level of adherence and gender. There is an association (p<0.5) between the level of adherence and socio-demographic characteristics. The study recommended that there is the need for structured teaching programme that will improve the knowledge of patients undergoing hemodialysis regarding dietary management and skin care in renal failure thereby preventing life threatening complication and prolonging their life.

This study was aimed to determine the perceived effects of night shift on nurses' physical, psycho-social health and work performance in selected health institutions Edo State. The study adopted a descriptive cross-sectional research design and convenience sampling method was used to select one hundred and sixty-nine nurses in Central Hospital and Faith Mediplex Hospital, Benin City, Edo State. A well- structured questionnaire was used as instrument for data collection. The data was analysed using descriptive and inferential statistics. Simple frequency and percentage were used to describe the data, while chi-square was used to test the hypotheses. The level of significance was set at p<0.05. The analysis was performed using the IBM Statistical Package for Social Sciences (SPSS) version 28.0 for windows. The result showed that majority of the respondents perceived night shift to have effect on their physical, psycho-social health and work performance in Central Hospital and Faith Mediplex Hospital, Benin City, Edo State. According to the results, It shows that 135(79.0%%)nurses agreed that night shift had negative on their physical health while 34(20.1%)nurses agreed that night shift had positive effect on their physical health. It shows that 124(73.4%%) nurses agreed that night shift had negative on their psychological health, while 45(26.6%)nurses agreed that night shift had positive effect on their psychological health. It shows that 117(69.2%%)nurses agreed that night shift had negative on their social health, while 52(30.8%)nurses agreed that night shift had positive effect on their social health and lastly, It shows that 135(79.9%%)nurses agreed that night shift had negative on their work performance., while 34(20.1%)nurses agreed that night shift had positive effect on their work performance. Also, sociodemographic characteristics namely sex, marital Status, educational qualification, years of experience, and religion were significantly associated with nurses’ physical health and psychological health; years of experience, cadre, ethnic group and religion was significantly associated with nurses social health. All sociodemographic variables except religion were significantly associated with nurses work performance. This study therefore, recommended that there is need for Institutions to make concerted efforts to ensure that the effect of night shift on nurses' physical, psycho-social health and work performance is assessed and taken care of as their health is important in delivery of quality care to patients.