Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis
End Stage Renal Disease is a well-known global public health problem. Maintenance hemodialysis is considered a life-saving treatment for patients with such disease. This treatment method that requires patients to be adherent to hemodialysis attendance, dietary and fluid recommendations as well as ad...
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| Format: | Article |
| Language: | English |
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College of Pharmacy University of Baghdad
2022-06-01
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| Series: | Iraqi Journal of Pharmaceutical Sciences |
| Subjects: | |
| Online Access: | https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/1421 |
| _version_ | 1811248066005565440 |
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| author | Maha Amer Abdul-Jabbar Dheyaa J. Kadhim |
| author_facet | Maha Amer Abdul-Jabbar Dheyaa J. Kadhim |
| author_sort | Maha Amer Abdul-Jabbar |
| collection | DOAJ |
| description | End Stage Renal Disease is a well-known global public health problem. Maintenance hemodialysis is considered a life-saving treatment for patients with such disease. This treatment method that requires patients to be adherent to hemodialysis attendance, dietary and fluid recommendations as well as adherence to prescribed medications to ensure success. The aim of the current study was to assess adherence, perception, and counseling among hemodialysis patients to different modalities of treatment (fluid restriction, dietary recommendations, medications, and hemodialysis schedules). A cross-sectional study carried out on hemodialysis patients who attended to the dialysis centers at al- Karama teaching hospital and Madinat Al- Imamain Al- Kadhimain teaching hospital. The Arabic version of the “ end stage renal disease-adherence questionnaire ” was used in assessing adherence, perception, and counseling. The number of recruited patients were 200 adult patients (113 men and 87 women). The average of the total adherence score lies within the moderate adherence (984.9 ±174.2). Patients adherence to the hemodialysis session was good as representing by high scores of adherence for (hemodialysis-attendance, episode of hemodialysis-shortening and duration of hemodialysis-shortening) while the lowest adherence score (126.0 out of 200) was for following the fluid restriction. In terms of adherence categories, the majority (61%) of the patients had good adherence, 33.0% had moderate adherence with 6% had poor adherence. Age had significant positive association with the total adherence score. All patients perceived their hemodialysis management as highly/very important. On the other hand, some patients perceived their adherence to the recommended diet as moderately (7%) or less important (7%). Regarding the frequency of counseling received by patients for different treatment modalities. The negative answers represented 58.5% of answers about the how important is to follow a proper diet, and 25.0% of answers about the importance of taking prescribed medications as ordered. Accordingly, the overall adherence of hemodialysis patients to different treatment modalities was less than optimum with fluid and diet adherence representing most challenging tasks in the health care of hemodialysis patients. |
| first_indexed | 2024-04-12T15:20:25Z |
| format | Article |
| id | doaj.art-45bb3c3082f34c04b575e877bf3f288c |
| institution | Directory Open Access Journal |
| issn | 2521-3512 1683-3597 |
| language | English |
| last_indexed | 2024-04-12T15:20:25Z |
| publishDate | 2022-06-01 |
| publisher | College of Pharmacy University of Baghdad |
| record_format | Article |
| series | Iraqi Journal of Pharmaceutical Sciences |
| spelling | doaj.art-45bb3c3082f34c04b575e877bf3f288c2022-12-22T03:27:28ZengCollege of Pharmacy University of BaghdadIraqi Journal of Pharmaceutical Sciences2521-35121683-35972022-06-013119510110.31351/vol31iss1pp95-101955Adherence to Different Treatment Modalities among Patients on Maintenance HemodialysisMaha Amer Abdul-Jabbar0Dheyaa J. KadhimAl Nuaman general Hospital, Ministry of Health and Environment, Baghdad, IraqEnd Stage Renal Disease is a well-known global public health problem. Maintenance hemodialysis is considered a life-saving treatment for patients with such disease. This treatment method that requires patients to be adherent to hemodialysis attendance, dietary and fluid recommendations as well as adherence to prescribed medications to ensure success. The aim of the current study was to assess adherence, perception, and counseling among hemodialysis patients to different modalities of treatment (fluid restriction, dietary recommendations, medications, and hemodialysis schedules). A cross-sectional study carried out on hemodialysis patients who attended to the dialysis centers at al- Karama teaching hospital and Madinat Al- Imamain Al- Kadhimain teaching hospital. The Arabic version of the “ end stage renal disease-adherence questionnaire ” was used in assessing adherence, perception, and counseling. The number of recruited patients were 200 adult patients (113 men and 87 women). The average of the total adherence score lies within the moderate adherence (984.9 ±174.2). Patients adherence to the hemodialysis session was good as representing by high scores of adherence for (hemodialysis-attendance, episode of hemodialysis-shortening and duration of hemodialysis-shortening) while the lowest adherence score (126.0 out of 200) was for following the fluid restriction. In terms of adherence categories, the majority (61%) of the patients had good adherence, 33.0% had moderate adherence with 6% had poor adherence. Age had significant positive association with the total adherence score. All patients perceived their hemodialysis management as highly/very important. On the other hand, some patients perceived their adherence to the recommended diet as moderately (7%) or less important (7%). Regarding the frequency of counseling received by patients for different treatment modalities. The negative answers represented 58.5% of answers about the how important is to follow a proper diet, and 25.0% of answers about the importance of taking prescribed medications as ordered. Accordingly, the overall adherence of hemodialysis patients to different treatment modalities was less than optimum with fluid and diet adherence representing most challenging tasks in the health care of hemodialysis patients.https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/1421adherence, hemodialysis, chronic kidney disease, esrd-adherence questionnaire, iraq |
| spellingShingle | Maha Amer Abdul-Jabbar Dheyaa J. Kadhim Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis Iraqi Journal of Pharmaceutical Sciences adherence, hemodialysis, chronic kidney disease, esrd-adherence questionnaire, iraq |
| title | Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis |
| title_full | Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis |
| title_fullStr | Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis |
| title_full_unstemmed | Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis |
| title_short | Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis |
| title_sort | adherence to different treatment modalities among patients on maintenance hemodialysis |
| topic | adherence, hemodialysis, chronic kidney disease, esrd-adherence questionnaire, iraq |
| url | https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/1421 |
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