Factors Affecting Adherence of Hemodialysis Patients to Treatment in Makkah, Saudi Arabia
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 6
Abstract
Background: Adherence of hemodialysis patients to medical instructions is considered crucial for a longer life expectancy and better quality of life. Despite of its importance, there is remarkable paucity in researches which deal with adherence of patients under hemodialysis (HD) in Saudi Arabia. Objectives: To identify the prevalence of adherence of patients to fluid, diet, medication and hemodialysis sessions in Makkah and to determine factors related to non-adherence. Materials and Methods: The current study is a cross section one, where a sample of 361 HD patients were selected randomly from hemodialysis centers in three governmental hospitals in Makkah and they were subjected to assessment for adherence by using ESRD-AQ questionnaire in addition to clinical examination and laboratory investigation results. Results: The frequency of adherence of patients was found to be high to dietary (88.4%), fluid restriction (87.8%) and medication prescription (88.0%), while it was relatively low for adherence to dialysis sessions (56.0%). Younger (< 30 years), unmarried, non-Saudis, those with chronic diseases other than hypertension (HTN) &diabetes mellitus (DM) and those with long dialysis duration (60+months) were found more likely to be non-adherent (NA) to fluid. Female patients were found more likely to be non-adherent to diet. Those with short dialysis duration (<60 months) were found more likely to be non-adherent to medications. Conclusion: The overall adherence rates in the current study population were thought to be within the range of most published international studies. Patients who had factors associated with non-adherence deserve special attention and support to improve their adherence behavior.
Authors and Affiliations
Ghanim H Al-Khattabi, Mostafa J Baljoon, Mahmoud Yousef Lubbad, Mohammed Saeed Al-Ghamdi, Majed Mohammed Al-Ghamdi, Sameer Awad Alsabban, Adel Ibrahim, Fadel Ahmad Trabulsi, Ahmad Hamza Alwazna, Majed Alharthi, Talib Jaid Al-Hujaili, Amin M. Mukhtar Almahdi
Keywords
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- EP ID EP548726
- DOI 10.21276/ijmrp.2017.3.6.020
- Views 87
- Downloads 0
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