Characteristic of Roma on hemodialysis treatment in north Macedonia

Arsov, Stefan and Sofronievska, Maja (2023) Characteristic of Roma on hemodialysis treatment in north Macedonia. Knowledge - International Journal, 57 (4). pp. 465-470. ISSN 2545-4439 (Online)

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Abstract

t: The aim of this study was to find the differences between Roma and non-Roma Hemodialysis (HD)
patient in their demographic and clinical parameters in Republic of North Macedonia. The Department of
Nephrology in Skopje, the Republic of North Macedonia, engaged 169 HD patients in prospective research on
demographic features and survival. Patients were observed for a total of 37 months. Patients with HD were
questioned regarding significant demographic characteristics, including ethical autonomy. With an AGE Reader,
skin autofluorescence was assessed a measure of Advanced Glycation End Products (AGEs). The two dietary records,
one from autumn and one from spring, were gathered from HD patients in order to examine the daily calorie,
protein, and AGE intake and investigate the possibility of seasonal fluctuation. Regarding the Hemodialysis
treatment, we discovered that Roma had statistically significant (p=0.023) lower participation or none of them were
included in the extended duration of HD treatment programme, as they refused to remain in the HD unit for longer
than the minimum time required for HD treatment. At 37 months, 49 out of 169 HD patients had died, or 29%. In
the univariate Cox regression analysis, we discovered that alcohol consumption, age, hypertension as a cause of end�stage renal disease (ESRD), and Hepatitis B were related with a shorter survival time. Age, alcohol, hypertension,
and Hepatitis B were all independent survival inhibitors in our HD patients.We found no difference in the survival
of Roma and non-Roma HD patients. In this study was found a short HD session time in Roma patients. Roma
hemodialysis patients suffer specific obstacles, such as stigma, prejudice, cultural restrictions, financial load, social
isolation, and psychological distress. Knowing these obstacles and the cultural beliefs and practices of Roma patients
can assist healthcare providers in providing culturally sensitive treatment and assistance to this vulnerable
community

Item Type:	Article
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences
Divisions:	Faculty of Medical Science
Depositing User:	Maja Sofronievska
Date Deposited:	24 Apr 2023 12:26
Last Modified:	28 Apr 2023 07:17
URI:	https://eprints.ugd.edu.mk/id/eprint/31670

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