1. HAEMODIALYSIS RECIPIENTS IN SELECTED HOSPITALS OF ANAMBRA STATE
Thesis PROPOSAL Presentation For The Degree Of Master Of Science
THE PSYCHOSOCIAL STATUS OF
HAEMODIALYSIS RECIPIENTS IN
SELECTED HOSPITALS OF ANAMBRA STATE by
CHUKWUYEM EMMANUELSON F
Department Of Nursing Science Faculty Of Health Sciences And Technology
College Of Health Sciences
Nnamdi Azikiwe University Nnewi Campus

2. OUTLINE INTRODUCTION/ BACKGROUND PURPOSE OF STUDY SCOPE OF THESIS
STATEMENT OF PROBLEM
THEORETICAL FRAMEWORK
METHODOLOGY

3. INTRODUCTION
Haemodialysis is a TEMPORARY REPLACEMENT OF THE KIDNEY USED FOR removing excess fluid, salt and wastes from the blood. it is the most frequent treatment method of chronic renal failure (Kimmel, 2010).
A patient with ESRD who uses haemodialysis faces in addition to a debilitating and disruptive chronic illness, a treatment regimen that is complex, demanding and incessantly intrusive on personal and social life and the intrusiveness of these thoughts is related to depression (Christensen and Ehlers, 2014).
The importance of having an accurate estimate of frequency and nature of psychosocial problems faced by haemodialysis recipients which is affecting their coping with the illness has triggered the interest in this study. Therefore this research was conducted to assess the psychosocial status of haemodialysis recipients in selected Hospitals in Anambra State.

4. PURPOSE OF STUDY
The purpose of study is to assess the psychosocial status of haemodialysis recipients in selected Hospitals in Anambra State, Nigeria so as to create an evidence base for the development of an information booklet for a comprehensive psychosocial care.
Specific objectives will seek to:
assess the level of depression of haemodialysis recipients.
assess the level of anxiety of haemodialysis recipients.
evaluate the quality of life of haemodialysis recipients.
determine the level of fatigue of haemodialysis recipients.

5. Hypotheses
H01: There is no significant relationship between depression and age of haemodialysis recipients.
H02: There is no significant relationship between anxiety and age of haemodialysis recipients.
H03: There is no significant relationship between quality of life and level of education of haemodialysis recipients.
H04: There is no significant relationship between presence of fatigue and age of haemodialysis recipients.

6. SCOPE OF THESIS
This study will be delimited to in patients and out patients receiving Haemodialysis in Nnamdi Azikiwe University Teaching Hospital, St Charles Specialist Hospital Onitsha, and Iyi-enu Mission Hospital Ogidi.

7. STATEMENT OF PROBLEM
Psychosocial issues are understudied yet an important concern in the overall health of haemodialysis (HD) patients.
Due to the paucity of empirical studies set in Anambra State, Nigeria, the researcher is motivated to examine the psychosocial status of haemodialysis recipients in selected Hospitals of Anambra State, Nigeria.

8. THEORETICAL FRAMEWORK
The biopsychosocial Model of Health and Illness by George Engel will BE adopted for the study. It comprises:
Biological influences on health
Psychological influences on health
Social influences on health

10. Assumptions
It is assumed that;
Patients with End stage renal failure may have both pleasant and unpleasant experience.
Haemodialysis patients will have more psychosocial problems

11. METHODOLOGY RESEARCH DESIGN AREA OF THE STUDY
A non-experimental descriptive research design Will be adopted for the study.
AREA OF THE STUDY
The location of the study will be the dialysis unit of Nnamdi Azikiwe University Teaching Hospital,St Charles Borromeo Specialist Hospital Onitsha and
Iyienu Mission Hospital Ogidi all in Anambra state.

12. METHODOLOGY (CONT’D) TARGET POPULATION
The target population for the study will comprise haemodialysis recipient patients who Will be accessible at the three centres.
Inclusion criteria were:
In patients or out patients receiving haemodialysis (not less than 2weeks).
Both male and female patients aged between 20 to 60years.
Able to understand, speak English and Igbo Language.
Patients who WERE willing to participate.
Patients who WERE available at the time of data collection.

13. METHODOLOGY (CONT’D) The Exclusion Criteria Unconscious patients
Clients with documented diagnosis of Alzheimers or similar memory losses.
Clients with interruptions of their regular dialysis scheduled because of illness, access malfunctions or vacations. The exclusion criteria were necessary to obtain participants who understood the details of the study and could give informed consent.

14. METHODOLOGY (CONT’D) Sample size
The sample of this research was calculated using Taro Yamane’s formula with 95% confidence level. (Yamane, 1967)
The calculation from a population of 172 (previous population approximation) became 120 haemodialysis recipients from all the three renal centers
Sampling Technique
Multi staged cluster sampling technique will be adopted for the study.

15. METHODOLOGY (CONT’D) Instrument of Data Collection
An adapted structured rating scale questionnaire will BE used for data collection.
Validity of the Instrument
the instrument (questionnaire) designed by the researcher will be validated by the research supervisor, clinical nurse psychiatrist, clinical medical psychologist and two other lecturers in the department of nursing to ensure validity and to examine the items for ambiguity and clarity.

16. METHODOLOGY (CONT’D) Reliability of the Instrument
Test- retest was used to determine the reliability of the instrument, and it was calculated using Cronbach’s alpha. A reliability mean of which indicated high reliability was obtained.

17. METHODOLOGY (CONT’D) Ethical Consideration
Ethical clearance will be obtained from the three hospitals that will be used for the study.
Method of Data Collection
Data collection procedure will be explained to each study participant while providing privacy and confidentiality of the data.
Method of data analysis
The data will be analyzed using descriptive and inferential statistics with the aid of Statistical Package for Social Sciences (SPSS) version 20.

18. Thank You