THE ASSESSMENT OF TREATMENT ADHERENCE AMONG DIALYSIS PATIENTS
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.1257Keywords:
Chronic kidney disease (CKD) represents a global public health issue,Abstract
Treatment adherence among dialysis patients is crucial for improving health outcomes and reducing complications associated with chronic kidney disease (CKD). However, adherence rates are often suboptimal due to complex treatment regimens and psychosocial factors. Objective: This study aims to assess treatment adherence among dialysis patients and identify factors influencing adherence behaviors. Methods: A descriptive cross-sectional study was conducted at Jinnah Hospital, Lahore, involving 133 patients with end-stage kidney disease (ESKD) undergoing dialysis. Data were collected using a validated questionnaire covering demographics and adherence behaviors across medication intake, dietary and fluid restrictions, and session attendance. Descriptive and inferential statistical analyses were performed using SPSS version 22, with a significance threshold set at p < 0.05. Results: Among the participants, 33.1% displayed poor adherence, 45.1% showed moderate adherence, and only 21.8% exhibited good adherence. Factors associated with non-adherence included forgetting medication (58.6%), intentional session shortening (43.6%), and inconsistent fluid restriction compliance (35.3%). Conclusion: The findings highlight moderate to poor adherence levels among dialysis patients, emphasizing the need for multifaceted interventions. Enhanced patient education, support systems, and multidisciplinary collaboration are recommended to improve adherence rates and health outcomes.
Downloads
References
Chan, M. R., Jain, R., Shechter, S. M., & Nissenson, A. R. (2021). Patient adherence in dialysis: Opportunities and challenges. Clinical Journal of the American Society of Nephrology, 16(2), 270-278.
Kammerer, J., Garvin, C., & Renda, M. (2020). Factors impacting treatment adherence in dialysis patients: A systematic review. Nephrology Nursing Journal, 47(4), 341-350.
Yapa, H. M., & Kudagodage, V. (2021). Exploring adherence patterns in hemodialysis patients: A focus on diet and fluid restrictions. BMC Nephrology, 22(1), 1-10.
Krishna, G. G., & Desai, A. (2020). Health system burden of non-adherence in dialysis patients. International Urology and Nephrology, 52(3), 381-388.
Chiu, Y. W., Teitelbaum, I., Misra, M., & Burkart, J. (2019). Dialysis adherence and its impact on mortality risk. American Journal of Kidney Diseases, 74(6), 754-760.
Narvaez, M., & Sanchez, G. (2021). Barriers to medication adherence in hemodialysis patients: A qualitative study. International Journal of Nursing Studies, 117, 103884.
Tan, J., Patel, K. R., & Griffith, K. (2020). Psychosocial determinants of adherence in dialysis populations. Journal of Renal Care, 46(1), 25-33.
Gutman, T., Plantinga, L. C., & Wong, S. P. (2020). Understanding medication adherence among dialysis patients: Role of health literacy and social support. American Journal of Kidney Diseases, 76(5), 649-658.
Mersal, F. A., & Ali, M. M. (2022). Impact of educational interventions on adherence to dialysis among patients with chronic kidney disease. Journal of Clinical Nursing, 31(4-5), 668-675.
Muriithi, L. K., et al. (2022). Determinants of treatment adherence in patients with CKD: A systematic review. Kidney International Reports, 7(3), 493–507.
Naik, M. P., et al. (2021). Behavioral approaches to manage fluid restriction non-compliance in ESKD patients on dialysis. Journal of Renal Nutrition, 31(4), 299–306.
Alsaqri, S. H., et al. (2021). Patient adherence to medication regimens in chronic disease management: A review. Patient Preference and Adherence, 15, 2035–2044.
Okpechi, I. G., et al. (2022). Adherence challenges in dialysis: A global perspective on patient barriers and facilitators. Kidney Medicine, 4(10), 100387.
Wilcox, S. C., et al. (2023). Enhancing dialysis adherence through technology and education. BMC Nephrology, 24(1), 107.
Brady, T. M., et al. (2022). Impact of dialysis session adherence on patient outcomes: Insights from recent studies. Clinical Kidney Journal, 15(5), 912–919.
Delgado, C., et al. (2021). Consequences of non-adherence in dialysis patients: Risks and preventive strategies. American Journal of Nephrology, 52(7), 403–415.
Santos, M. J., et al. (2023). Fluid restriction adherence and its impact on outcomes in hemodialysis patients. Journal of Clinical Nephrology, 13(1), 42–49.
Miller, L. M., et al. (2021). Motivational interviewing to enhance adherence in hemodialysis patients. Patient Education and Counseling, 104(8), 1975–1981.
East, J., et al. (2023). Multidisciplinary interventions to improve adherence among dialysis patients. Nephrology Nursing Journal, 51(2), 101–109.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 R ZAINAB , S Arif, H SADDIQUE, SS TASNEEM
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.