Main goal: The goal of the study is to determine the distribution and to test the significance
of differences between patients with chronic kidney disease who are treated with ambulatory
and hospital haemodialysis in Institute of Nephrology – Struga in agreement with the gender,
age, place of living (city/village), nationality, marital status, level of education, social status,
primary disease, duration of the primary disease, duration of the haemodialysis treatment; To
evaluate the patients’ satisfaction of the way of communication with the health care
personnel, the information about their health condition and further treatment provided by the
doctors, as well as retention of the right of equal treatment while providing health care.
Materials and methods: The research was conducted in the Institute of Nephrology – Struga,
in the period from 01 November to 01 December 2011. In the study were included and
analyzed a total of 80 patients who were on haemodialysis in the institute in the test period, in
which the patients were divided in two test groups: (N1) – Patients on chronic haemodialysis
program (CHP) which receive ambulatory dialysis 2 to 3 times a week, that mainly live in the
Ohrid – Struga region and (N2) – patients on CHP which do dialysis in a hospital, because the
lack of space in the Centre for haemodialysis in or near the place of living. Because of that
they are obligated on hospitalization in the Institute for Nephrology in Struga.
Results: According to the patients’ gender, the occurrence was almost equal in men and
women (p = 0,8473). The examinees, whose haemodialysis was performed ambulant (N1),
were approximately 56,8 ± 11,5 years old, while the patients who were done a hospital
treatment (N2) were 60,3 ± 15 years old – the differences were not significant (p = 0,2386).
According to the nationality, between the examinees from both groups, there is a significant
difference (p = 0,0354). Bad social status was confirmed by 18 (45%) patients that were
treated ambulatory and 17 (42,5%) patients who were treated in a hospital. In both groups, in
most of the cases (35% of N1 and 40% of N2), as a primary disease which led to CKD
stadium 5 was noted chronic glomerulonephritis. According to the age of the patients during
the diagnostic procedure of the primary disease there is no significant difference between the
patients of the both groups (p = 0,0652). From the total of 80 examinees included in the
study, 50 (62,5%) consider that they have an equal treatment as the other patients on
haemodialysis in the country.
Concluson: In our country, as well as the rest of the world, patients with CKD treated with
haemodialysis are considered as a major public-health problem which should be solved
systematically, in advantage of the patients. The country and the health institutions should
find a way and resources for improving the conditions for treatment of these patients with
which they will enjoy all rights that they deserve according to the Law for protection of
patients’ rights.
Key words: chronic kidney disease, haemodialysis, patient satisfactio
