ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE
Objective: To document overall adherence to haemodialysis, medications, fluid restriction and dietary prescription in patients with end-stage renal disease and to study factors that could predict poor adherence. Study Design: Cross-sectional analytical study. Place and Duration of Study: Depar...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2021-06-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/3082 |
| _version_ | 1818727998726078464 |
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| author | Sheharyar Raashid Abdul Rehman Arshad Abdul Wahab Mir |
| author_facet | Sheharyar Raashid Abdul Rehman Arshad Abdul Wahab Mir |
| author_sort | Sheharyar Raashid |
| collection | DOAJ |
| description | Objective: To document overall adherence to haemodialysis, medications, fluid restriction and dietary prescription in patients with end-stage renal disease and to study factors that could predict poor adherence.
Study Design: Cross-sectional analytical study.
Place and Duration of Study: Department of Nephrology, Pak Emirates Military Hospital, Rawalpindi, from Jul to Sep 2018.
Methodology: Adult patients on haemodialysis for at least three months were selected using consecutive sampling technique. Patients with acute kidney injury, patients on haemodialysis for less than 3 months, those on infrequent haemodialysis and unwilling patients were excluded. Demographic data was recorded. Adherence to management was assessed by administering End Stage Renal Disease Adherence Questionnaire in direct face- to-face interviews.
Results: There were a total of 101 patients having a mean age of 51.05 ± 13.80 years. Median haemodialysis vintage was 9 months (interquartile range 3-24 months). Mean adherence scores were 970.54 ± 149.43. Mean perception scores were 7.22 ± 1.37. Only 49 (48.51%) patients had good adherence, whereas 52 (51.49%) had poor adherence to management. Increasing age was associated with poor adherence (β=-0.038; Odds Ratio=0.963, 95% CI 0.928- 1.000, p=0.048). No other demographic parameter could predict poor adherence.
Conclusion: Non-adherence to different aspects of management plan was a significant problem, more so in younger patients. |
| first_indexed | 2024-12-17T22:23:00Z |
| format | Article |
| id | doaj.art-37a07086fd57475393087ad0d06e4c7d |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-17T22:23:00Z |
| publishDate | 2021-06-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-37a07086fd57475393087ad0d06e4c7d2022-12-21T21:30:25ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-06-017138050910.51253/pafmj.v71i3.30823082ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASESheharyar Raashid0Abdul Rehman Arshad1Abdul Wahab Mir2Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital Peshawar/National University of Medical Sciences (NUMS) PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjective: To document overall adherence to haemodialysis, medications, fluid restriction and dietary prescription in patients with end-stage renal disease and to study factors that could predict poor adherence. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Nephrology, Pak Emirates Military Hospital, Rawalpindi, from Jul to Sep 2018. Methodology: Adult patients on haemodialysis for at least three months were selected using consecutive sampling technique. Patients with acute kidney injury, patients on haemodialysis for less than 3 months, those on infrequent haemodialysis and unwilling patients were excluded. Demographic data was recorded. Adherence to management was assessed by administering End Stage Renal Disease Adherence Questionnaire in direct face- to-face interviews. Results: There were a total of 101 patients having a mean age of 51.05 ± 13.80 years. Median haemodialysis vintage was 9 months (interquartile range 3-24 months). Mean adherence scores were 970.54 ± 149.43. Mean perception scores were 7.22 ± 1.37. Only 49 (48.51%) patients had good adherence, whereas 52 (51.49%) had poor adherence to management. Increasing age was associated with poor adherence (β=-0.038; Odds Ratio=0.963, 95% CI 0.928- 1.000, p=0.048). No other demographic parameter could predict poor adherence. Conclusion: Non-adherence to different aspects of management plan was a significant problem, more so in younger patients.https://pafmj.org/index.php/PAFMJ/article/view/3082haemodialysismedication adherencepatient compliance |
| spellingShingle | Sheharyar Raashid Abdul Rehman Arshad Abdul Wahab Mir ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE Pakistan Armed Forces Medical Journal haemodialysis medication adherence patient compliance |
| title | ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE |
| title_full | ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE |
| title_fullStr | ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE |
| title_full_unstemmed | ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE |
| title_short | ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE |
| title_sort | adherence to management in patients with end stage renal disease |
| topic | haemodialysis medication adherence patient compliance |
| url | https://pafmj.org/index.php/PAFMJ/article/view/3082 |
| work_keys_str_mv | AT sheharyarraashid adherencetomanagementinpatientswithendstagerenaldisease AT abdulrehmanarshad adherencetomanagementinpatientswithendstagerenaldisease AT abdulwahabmir adherencetomanagementinpatientswithendstagerenaldisease |