Determinants of Compliance Behaviours among Patients Undergoing Hemodialysis in Malaysia

Abstract

BackgroundPatients with end stage renal disease often fail to follow prescribed dietary and fluid regimen, leading to undesirable outcomes. This study aimed to examine and identify factors influencing dietary, fluid, medication and dialysis compliance behaviours in patients undergoing hemodialysis.MethodsThis was a cross-sectional study which employed purposive sampling design. A total of 188 respondents were recruited from 14 dialysis centres in Malaysia between 2008–2011. Self-reported compliance behaviours and biochemical measurements were used as evaluation tools.ResultsCompliance rates of dietary, fluid, medication and dialysis were 27.7%, 24.5%, 66.5% and 91.0%, respectively. Younger, male, working patients and those with longer duration on hemodialysis were found more likely to be non-compliant. Lacks of adequate knowledge, inadequate self-efficacy skills, forgetfulness and financial constraints were the major perceived barriers towards better compliance to fluid, dietary, medication and dialysis, respectively.ConclusionsHealthcare professionals should recognise the factors hindering compliance from the patients' perspective while assisting them with appropriate skills in making necessary changes possible.

Adherence of adult Chronic Kidney Disease patients with regard to their dialysis, medication, dietary and fluid restriction

“…Non adherence using inter-dialytic weight gain ranged from 9.7% in USA to 70% in UK (24,35,36,37,38,39,40,41,42,43,44). Through self-report, non-adherence to fluid intake ranged from 40.3% in China to 72% in Belgium (19,45). Studies and documentation on adherence rates to fluid intake in African region were limited…”

Non-Compliance to Doctors’ Advices among Patients Suffering from Various Diseases: Patients’ Perspectives: A Neglected Issue

“…Males were found more likely to follow the advices of their doctors in a study conducted by Chan et al 10 Contrasting to it, another study revealed females complying towards doctors' advices. 8 However, some other studies have concluded with more compliance in favor of males.…”

“…Chan et al also found younger patients being non-compliant. 10 This could be due to the fact that older aged patients were generally more serious about their diseases & therefore they complied the most with doctors' advices.…”

Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

“…Some of them are age [4,6,7,[19][20][21][22]26,27,28,36] , race [4,6,7,19,23] , sex [4,7,22,26,27] , educational level [6,22,23] , work [27,34],marital status [18,33,34,36]. Studies that have analyzed the demographic characteristics and correlated them with adherence in HD are summarized below (Table 1).…”

“…Barnett et al [26] studying the effectiveness of an educational program in fluid adherence found that women had an important decrease in the fluid consumption. No correlation was found between adherence and other demographic characteristics.…”