Medication adherence among adult patients on hemodialysis

Alkatheri, Abdulmalik; Alyousif, Sarah; Alshabanah, Najla; Albekairy, Abdulkareem M; Alharbi, Shemylan; Alhejaili, Fayze F; Sayyari, Abdulla Al; Qandil, Abeer Ma; Qandil, Amjad M.

doi:10.4103/1319-2442.134990

Cited by 40 publications

(40 citation statements)

References 23 publications

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“…This same association was observed in other studies addressing adherence to different aspects of the treatment (Alkatheri et al, 2014;Dantas et al, 2013;Sgnaolin, Prado & Figueiredo, 2012).…”

Section: Demographic Characteristicssupporting

confidence: 73%

“…Additionally, due to the high complexity of the treatment, most studies focus on the analysis of one of the treatment aspects (i.e., adherence to medication, or to fluid or diet restrictions), which hinders the establishment of general conclusions (Schmid et al, 2009;Martins et al, 2013;Alkatheri et al, 2014). This study's aim was to assess adherence to different aspects of the HD treatment of ESRD patients and identify the relationship between adherence to treatment and sociodemographic and psychological variables.…”

Section: Adherence To Hemodialysismentioning

confidence: 99%

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Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis

Nakao

Gorayeb

Costa

2016

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Abstract.To evaluate patients' adherence to hemodialysis (HD) and its relationship to psychosocial variables. Methods: 64 adult patients undergoing HD participated in the study and were assessed in regard to depression, anxiety, social support, disease and treatment knowledge, and adherence. Results: Association between sex and adherence to HD, and to diet and medication was found, as well as between schooling and overall adherence. There is association between disease knowledge and depression, with adherence to fluid restrictions. No association was found between adherence and anxiety. Conclusion: Identifying the determinants of treatment adherence is essential to devise efficacious strategies to improve patients' quality of life.Keywords. Hemodialysis, depression, anxiety, social support, treatment adherence.Resumen. Objetivo: Evaluar la adherencia de pacientes al tratamiento de la hemodiálisis (HD) y su relación con variables psicosociales. Método: Participaron 64 pacientes adultos con HD, evaluados en cuanto a depresión, ansiedad, apoyo social, conocimiento de la enfermedad y del tratamiento, y la adherencia. Resultados: Hay asociación entre sexo y adherencia a la HD, la dieta y la medicación, así como entre escolaridad y la adherencia general. Hay asociación entre niveles de conocimiento de la enfermedad y depresión con la adherencia a la restricción de líquidos. No se encontró asociación entre la adherencia y la ansiedad. Conclusión: La identificación de los determinantes de la adherencia al tratamiento es esencial para la elaboración de estrategias eficaces para mejorar la calidad de vida de los pacientes.Palabras clave. Hemodiálisis, depresión, ansiedad, apoyo social, adherencia.

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Section: Demographic Characteristicssupporting

confidence: 73%

Section: Adherence To Hemodialysismentioning

confidence: 99%

Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis

Nakao

Gorayeb

Costa

2016

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“…Many other published studies reported lack of diet and medication adherence among patients undergoing HD [17–21]. Despite the importance of adherence in general population of patients and in HD patients in particular, there are very limited number of studies which discussed this topic at the local and regional level in Arab countries [22–24]. In Palestine, there are few studies on medication adherence in general and none about adherence in HD patients [25–33].…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

et al. 2017

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BackgroundAdherence to diet recommendations, fluid restriction, prescribed medications, and attendance at hemodialysis (HD) sessions are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Palestine. Therefore, this study was carried out to assess adherence to diet, fluid restriction, medications, and HD sessions.MethodsA cross-sectional study of HD patients at An-Najah National University Hospital was carried out during summer, 2016. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ). Predialytic serum levels of potassium and phosphate were obtained as clinical indicator of diet and medication adherence respectively. In addition, interdialytic body weight (IDW) was also obtained from medical records and analyzed in relation to reported adherence of fluid restriction.ResultsA total of 220 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.82 ± 14.51 years. Dietary adherence was observed in 24% while that of fluid restriction adherence was observed in 31% of studied patients. Reported adherence to HD sessions was 52% while that for medications was 81%. Overall, 122 (55.5%) patients had good adherence, 89 (40.5%) had moderate adherence, and 9 (4.1%) had poor adherence behavior. Male patients had significantly higher overall adherence scores than females (p = 0.034). A significant correlation between reported diet adherence and serum pre-HD potassium level (p < 0.01) was observed. A significant correlation between reported fluid restriction adherence and IDW (p < 0.01) was also found. However, no significant correlation between reported adherence and pre-HD phosphate level. There was significant correlation between overall perception and overall adherence score (p < 0.001). Counselling of patients regarding importance of adherence modalities was lowest for “staying for the entire dialysis time”. Multivariate analysis indicated that elderly male patients who were city residents had higher odds of having higher adherence score.ConclusionsThere was a good percentage of patients who had overall moderate or poor adherence. ESRD-AQ could be used to assess some aspects of HD adherence. Counselling and education of patients on HD are important to improve therapeutic outcome.Electronic supplementary materialThe online version of this article (doi:10.1186/s12882-017-0598-2) contains supplementary material, which is available to authorized users.

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“…12 Additionally, there is a lack of local data on the prevalence and determinants of nonadherence among dialysis patients in Saudi Arabia. 20 The objective of this study was to examine the prevalence of psychological ailments including depression, anxiety, insecure attachment style, and cognitive impairment and their associations with adherence to the recommended management of ESRD among patients on maintenance dialysis.…”

Section: Introductionmentioning

confidence: 99%

<div>Psychosocial predictors of nonadherence to medical management among patients on maintenance dialysis</div>

Alosaimi¹,

Asiri²,

Alsuwayt³

et al. 2016

IJNRD

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Medication adherence among adult patients on hemodialysis

Cited by 40 publications

References 23 publications

Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis

Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

<div>Psychosocial predictors of nonadherence to medical management among patients on maintenance dialysis</div>

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