Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Abstract

Compliance with the prescribed medical regimen is a critical factor for the continued well-being of hemodialysis patients. As compliance is a multifactorial problem, numerous approaches have been utilized to quantify the compliance of hemodialysis patients. In the present study, we have attempted to examine whether unanticipated control of biochemical indices might predict the compliance status of hemodialysis patients. We compared unanticipated mid-month values of blood urea nitrogen (BUN), serum potassium (K) and phosphate (PO₄) values of 54 maintenance hemodialysis patients with the scheduled, regular first-week measurements during a 6-month study period. The interdialytic weight gain (IWG) levels of the corresponding weeks were also compared. Mid-month analysis revealed a significant deviation in the compliance status of the study population as BUN, serum K and IWGs were concerned (p < 0.05). The mid-month serum PO₄ levels were also higher but the difference was not significant (p < 0.05). In conclusion, the differences observed in biochemical indices upon change of test request timing were distinctive. It suggests that unanticipated control of biochemical indices might contribute to the actual assessment of compliance in hemodialysis patients.

Predictors of nonadherence with blood pressure regimens in hemodialysis

“…In the present study, females consumed less fluid than males, a finding supported in the literature 10,12,28,29. Race was related to missed HD treatments, similar to the findings found in the Dialysis Outcomes and Practice Patterns Study, which found a higher incidence of skipping and shortening HD treatments among African Americans 14.…”

Nonadherence With Diet and Fluid Restrictions Among Adults Having Hemodialysis

“…When operational definitions are inconsistent, validity and reliability cannot be documented. Different approaches include the measurement of nonadherence according to demographic characteristics (Bame et al, 1993; Kaplan, DeNour, & Czaczkes, 1974; Leggat et al, 1998), psychological and behavioral variables (Kimmel et al, 1995; Kimmel et al, 1998; O'Brain, 1990), lab values (Arici et al, 1999; Block, Hulbert‐Shearon, Levin, & Port, 1998; Mai, Busby, & Bell, 1999), and comorbid conditions (Kaveh & Kimmel, 2001; Leggat et al, 1998). Demographic characteristics associated with nonadherence include racial group differences (Bame et al, 1993).…”

Psychosocial correlates of fluid compliance among Chinese haemodialysis patients

“…Haemodialysis has gained widespread acceptance as the chosen treatment for chronic renal failure, yet the never‐ending demands of medical therapy often require many adjustments in living patterns for patients (Arici et al . 1998).…”