Introduction Chronic kidney disease (CKD) is a growing public health problem that is associated with enormous economic burden, reduced quality of life and untimely deaths predominantly in developing countries. Aims: The study determines the prevalence and risk factors for CKD among diabetes and hypertensive patients in a teaching hospital in Ekiti State. Methods Descriptive and cross-sectional research designs were employed using quantitative strategy. Two-hundred (200) participants who were purposely selected participated in the study. Socio-demographic data, awareness and risk factors for CKD were determined using a standardized questionnaire while CKD prevalence was investigated with biophysical measurements and laboratory investigations. Descriptive analyses were used to answer the research questions while inferential statistics were used to test hypotheses at a significant level of p < 0.05. Results Finding revealed that 50% and 57.1% of the diabetics and hypertensives were above 60 years, 36.7% of the diabetics has a comorbidity while only 2% and 3.1% of diabetics and hypertensives participants has a family history of CKD. The study revealed that the level of awareness of CKD by the respondents was inadequate. Major risk factors of CKD identified among the respondents were already diagnosed of diabetes and hypertension, age above 60 years (50% and 57.1%), herbal concoction (77.7% and 73.5%) and NSAID (74.5% and 78.6%). The prevalence of CKD for diabetics was 39.8% while 57.1% for hypertensives. There was a significant relationship between respondents’ level of education and awareness of CKD (X2 =44.20, p=<0.001). The prevalence of CKD among the studied population was high. Conclusion Efforts should be intensified by nurses and all other stakeholders on awareness and prevention programs for CKD. Furthermore, promotion of patients’ satisfaction with quality of health care services should be the goal to promote positive health outcomes.
Introduction patients' satisfaction is an important aspect in determining the quality of health care since it reveals how staff are progressing toward the patients' objectives. Objective: the study determined the treatment perception and expectations among diabetes and hypertensive patients in a teaching hospital in Ekiti State, Nigeria. Methods the study employed a cross-sectional design approach with a sample size of 200 participants. Descriptive analyses were used to answer the research questions while inferential statistics were used to test hypotheses at a significant level of p < 0.05. Results the findings revealed that 50% (n=196) and 57.1% (n=196) of the patients with diabetes and hypertension were above 60 years with mean age and standard deviation being 3.36 ± 0.72, while 63.3% (n=196) and 64.3% (n=196) of the patients with diabetes and hypertension were females. Overall, the results revealed a significant difference between the domains of participants´ expectations and perceptions, with the expectations domains being significantly higher for both diabetes and hypertensive patients with mean score and standard deviation being (-5.14 (±1.62) and -4.55 (±1.83)) respectively. However, the difference in the gap scores between the participants with diabetes and those with hypertension across the domains of patients´ expectations and perceptions was significant. Furthermore, apart from the tangible domain 19.76 (±0.87) (p < 0.05), the findings from the study showed that participants with diabetes had significantly higher expectation scores, when compared with those with hypertension in all domains. Additionally, the participants with diabetes showed the highest level of perception in the tangible 15.75 (±1.43) and empathy 20.50 (±1.20) domains while those with hypertension showed the highest level of perception in the reliability, responsiveness, and assurance domains (21.66 (±2.45), 16.58 (±1.38) and 21.43 (±2.03) p < 0.001 respectively). Conclusion efforts should be intensified by nurses and all other stakeholders to exceed patients´ expectations by continually improving the quality of health care and services offered to patients.
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