Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

Abstract

Abstract:Non-adherence to treatment is an increasing problem for patients with end stage renal disease under haemodialysis.Aim: This study aimed to review the basic literature mentioned to the correlation between haemodialysis patient demographic characteristics and non-adherence to their treatment regimen.Method: Studies written in English published in 2002-2013 were identified through PubMed, PubMed Central, Dove press, Scopus. Clinical trials and review articles were excluded. Key-words used for search included a combination of adherence / non-adherence and haemodialysis in titles. Results: According to the literature, patient demographic characteristics are important factors for patient adherence to treatment regimen. Generally, factors associated with increased level of non-adherence to haemodialysis treatment regimen included young age, sex, race and educational level. Conclusions: Early identification of risk factors, inclusion of patients in the health care team and participation in clinical decision making, can lead to behavior adherence.

The relationship between hemodialysis patients' fluid compliance and selected socio-demographic factors in Northern Alberta, Canada

“…While hemodialysis is the main treatment, successful dialysis also depends on other factors that require patients to modify their lifestyle and habits substantially (Victoria et al, 2015). Patients need to strictly attend dialysis sessions, restrict fluid intake, limit potassium-and phosphorous-containing foods, and comply with medication regimes (Victoria et al, 2015). Failure to restrict fluid intake often leads to fluid overload.…”

“…Chronic kidney disease (CKD) and its irreversible final stage, end-stage renal disease (ESRD), affect populations around the world (Matteson & Russell, 2010). One of the most safe and viable treatments for ESRD is hemodialysis, which has widespread acceptance from patients and health care professionals (Boyer, Ronald, Gregory, & George, 1990;Kugler, Vlaminck, Haverich, & Maes, 2005;Pang, Ip, & Chang, 2001;Victoria, Evangelos, & Sofia, 2015). However, this medical intervention requires many lifestyle adjustments from patients.…”

“…In addition, multiple healthrelated complications due to fluid overload affect patients' quality of life (Ahrari, Moshki, & Bahrami, 2014;Kim, Evangelista, Phillips, Pavlish, & Kopple, 2012). Therefore, patients need to be highly compliant for both better treatment outcomes and to achieve a better quality of life (Ahrari et al, 2014;Ibrahim, Hossam, & Belal, 2015;Victoria et al, 2015).…”

“…According to the World Health Organization (as cited in Sabate, 2003), social, economic, and demographic factors are some of the important risk factors that can be associated with patients' non-compliance. It has been observed that fluid non-compliance is one of the major issues for a vast majority of dialysis patients (Ahrari et al, 2014;Kauric-Klein, 2013;Victoria et al, 2015). Fluid non-compliance causes a significant increase in interdyalitic weight gain (IDGW), resulting in substantial fluid removal during dialysis treatment, leading to decreased blood pressure, cramps, headache, and dizziness (Lee et al, 2014;Onofriescu, Hogas, Voroneanu, & Covic, 2011).…”

“…Fluid non-compliance causes a significant increase in interdyalitic weight gain (IDGW), resulting in substantial fluid removal during dialysis treatment, leading to decreased blood pressure, cramps, headache, and dizziness (Lee et al, 2014;Onofriescu, Hogas, Voroneanu, & Covic, 2011). Researchers from different parts of the world have completed many studies focused on efforts to find and address related factors related to non-compliance (Ahrari et al, 2014;Kauric-Klein, 2013;Kugler, Maeding, & Russell, 2011;Victoria et al, 2015).…”