Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes

Non-adherence to prescription is common among hemodialysis (HD) patients and has been associated with significant morbidity. At least 50% of HD patients are believed to be non-adherent to some part of their treatment. We aimed to assess the prevalence of non-adherence to dialysis prescription among...

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Main Authors: Salwa Ibrahim, Mohammed Hossam, Dawlat Belal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=2;spage=243;epage=249;aulast=Ibrahim
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author Salwa Ibrahim
Mohammed Hossam
Dawlat Belal
author_facet Salwa Ibrahim
Mohammed Hossam
Dawlat Belal
author_sort Salwa Ibrahim
collection DOAJ
description Non-adherence to prescription is common among hemodialysis (HD) patients and has been associated with significant morbidity. At least 50% of HD patients are believed to be non-adherent to some part of their treatment. We aimed to assess the prevalence of non-adherence to dialysis prescription among 100 chronic HD patients. We explored the relationship between non-adherence on one hand and socioeconomic profile, depression scores and cognitive function on the other hand. The impact of patients′ non-adherence on nutritional status, quality of life and dialysis adequacy was also assessed. The mean age of the study group was 50.51 ± 12.0 years. There were 62 females and 38 males in the study. Thirty-six patients (36%) were non-compliant to their dialysis prescription. No significant differences were detected between compliant and non-compliant patients in their education level and employment status. Inter-dialytic weight gain, serum phosphorus and depression scores were significantly higher in non-compliant patients compared with compliant patients, whereas body weight, serum albumin, serum calcium, quality of life scores and nutrition scores were significantly higher in compliant patients (P <0.05). In conclusion, non-adherence is highly prevalent among chronic HD patients and is associated with poor quality of life, depression and malnutrition.
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spelling doaj.art-ff40cb824857427b8ababb72c8fc2a002022-12-22T01:27:37ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422015-01-0126224324910.4103/1319-2442.152405Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomesSalwa IbrahimMohammed HossamDawlat BelalNon-adherence to prescription is common among hemodialysis (HD) patients and has been associated with significant morbidity. At least 50% of HD patients are believed to be non-adherent to some part of their treatment. We aimed to assess the prevalence of non-adherence to dialysis prescription among 100 chronic HD patients. We explored the relationship between non-adherence on one hand and socioeconomic profile, depression scores and cognitive function on the other hand. The impact of patients′ non-adherence on nutritional status, quality of life and dialysis adequacy was also assessed. The mean age of the study group was 50.51 ± 12.0 years. There were 62 females and 38 males in the study. Thirty-six patients (36%) were non-compliant to their dialysis prescription. No significant differences were detected between compliant and non-compliant patients in their education level and employment status. Inter-dialytic weight gain, serum phosphorus and depression scores were significantly higher in non-compliant patients compared with compliant patients, whereas body weight, serum albumin, serum calcium, quality of life scores and nutrition scores were significantly higher in compliant patients (P <0.05). In conclusion, non-adherence is highly prevalent among chronic HD patients and is associated with poor quality of life, depression and malnutrition.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=2;spage=243;epage=249;aulast=Ibrahim
spellingShingle Salwa Ibrahim
Mohammed Hossam
Dawlat Belal
Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
Saudi Journal of Kidney Diseases and Transplantation
title Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
title_full Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
title_fullStr Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
title_full_unstemmed Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
title_short Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes
title_sort study of non compliance among chronic hemodialysis patients and its impact on patients outcomes
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=2;spage=243;epage=249;aulast=Ibrahim
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AT mohammedhossam studyofnoncomplianceamongchronichemodialysispatientsanditsimpactonpatientsoutcomes
AT dawlatbelal studyofnoncomplianceamongchronichemodialysispatientsanditsimpactonpatientsoutcomes