Predictors of dietary and fluid non‐adherence in Jordanian patients with end‐stage renal disease receiving haemodialysis: a cross‐sectional study

Khalil, Amani A.; Darawad, Muhammad W.; Al-Gamal, Ekhlas; Hamdan‐Mansour, Ayman M.; Abed, Mona A.

doi:10.1111/j.1365-2702.2012.04117.x

Cited by 52 publications

(80 citation statements)

References 32 publications

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“…"Intake exceeds output" indicates that the intake of a quantity of liquid in the body is more than the amount eliminated (20) . A study found that adherence to diet control and fluid intake has no relationship with psychosocial predictors and the perception of health but is related to a set of factors that can influence patient compliance in the control of fluid intake, and the best indicators are not being recognised to predict this behaviour (29) . However, a restricted diet can promote distortions in its proper fulfilment.…”

Section: Discussionmentioning

confidence: 99%

Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

et al. 2017

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Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients Fernandes MICD, et al. INTRODUCTIONChronic kidney disease (CKD) is progressive and irreversible kidney damage and is associated with decreased glomerular filtration rate. The filtration and renal regulation failure generates the accumulation of toxic substances in the body, triggering water, electrolyte, acid-base, endocrine and metabolic disorders (1) . Therefore, performing treatments that replace kidney functions is needed. Accordingly, haemodialysis (HD) plays a primary role. At of the end of the year 2012, 3,010,000 patients worldwide had end-stage renal disease. Of these, 70% underwent haemodialysis (2) . This therapy consists of blood filtration with the aid of a dialysis machine, through a dialyser, in which toxic substances and excess nitrogen liquid are excreted, and the function of the renal glomeruli and tubules is supported (1) . Despite the appropriate follow-up, this treatment does not completely replace renal function and causes the accumulation of excreta nitrogen, fluids and electrolytes, which are responsible for signalling the signs and symptoms in this clientele (3)(4) . Amongst the effects of renal impairment, liquid accumulation is a central problem in these individuals. This excess is the response to the water imbalance between entry and output of the liquids in the organisms, causing complications such as cardiovascular problems (5) . In this context, nursing care needs to directly address the actual customer's needs during haemodialysis. The identification of nursing diagnoses (ND), a step of the nursing process that helps to organise and direct care, translates human responses experienced by the customer in relation to their health condition (6) . The International ND from NANDA International (NAN-DA-I) "Excess fluid volume" is defined as increased retention of isotonic liquids (7) . It comprises 25 defining characteristics and three related factors (7) . Studies with patients submitted to haemodialysis have indicated the high prevalence of this nursing diagnosis (8)(9) , having a prevalence of 82% in patients undergoing haemodialysis. Moreover, the following characteristics were significantly associated with this diagnosis: agitation, pulmonary congestion, jugular distension, oedema, altered electrolytes, weight gain, feed intake greater than the debt and adventitious breath sounds (10) . Another study confirmed the above research and suggested that water retention is common in haemodialysis patients and is associated with worse outcomes, including various heart conditions such as tissue ischemia, arrhythmia and sudden cardiac death, in addition to acute pulmonary oedema and hypertension. Hypertension is an important risk factor for cardiovascular disease, which is commonly seen in populations with declining renal function (11)(12)(13) . Accordingly, the onset of renal replacement therapy partially decreases the symptoms of failing kidneys; however, high blood pressure levels persist in most patients...

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Section: Discussionmentioning

confidence: 99%

Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

et al. 2017

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“…6.7% of Brazilian participants, 5.1% of Americans (2) and 5.7% of Hispanics were considered non-adherent to the medication. (18) Non-adherent to the diet were 14.1% of Brazilians, 12% of Americans and 19.2% of Hispanics. In the fluid intake domain, there were greater differences among the results found: 17.9% of non-adherent Brazilians, 10.34% of Americans and 5.7% of Hispanics.…”

Section: Discussionmentioning

confidence: 99%

“…The psychological and motivational aspects seem to play a prominent role in non-adherence to treatment. (18) In the hemodialysis domain, 85.8% considered it "extremely important" to follow the prescribed recommendation. On the other hand, 32% were considered non-adherent on the basis of objective criteria.…”

Section: Discussionmentioning

confidence: 99%

Adesão de portadores de doença renal crônica em hemodiálise ao tratamento estabelecido

et al. 2018

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Objective: Identify the adherence behavior of chronic kidney patients to the four dimensions of the therapeutic regimen: hemodialysis, medication use, diet and fl uid restriction. Methods: Descriptive and cross-sectional study with a quantitative approach, developed at two hemodialysis centers in the State of Rio de Janeiro. To collect the data, an evaluation questionnaire was used on the adherence of the chronic kidney patient on hemodialysis. The data were analyzed through simple descriptive statistics. Results: The domain with the highest percentage of non-adherent patients was hemodialysis with 32%. Medication was the domain with the highest percentage of adherent patients, 93.6%. Conclusion: Treatment adherence is a dynamics behavior and, therefore, needs constant monitoring. ResumoObjetivo: Identifi car o comportamento de adesão do paciente renal crônico ao regime terapêutico nas suas quatro dimensões: hemodiálise uso de medicamentos, dieta e restrição hídrica. Métodos: Estudo descritivo, transversal com abordagem quantitativa, desenvolvido em dois centros de hemodiálise no Estado do Rio de Janeiro. Para coleta de dados, foi utilizado um questionário de avaliação sobre a adesão do portador de doença renal crônica em hemodiálise. Os dados foram analisados por meio de estatística descritiva simples. Resultados: O domínio que apresentou maior percentual de pacientes não aderentes foi a hemodiálise, com 32%. Já a medicação foi o domínio com maior percentual de pacientes aderentes, 93,6%. Conclusão: A adesão à terapêutica é um comportamento dinâmico e, como tal, merece monitorização constante. ResumenObjetivo: Identifi car el comportamiento de adhesión del paciente renal crónico al régimen terapéutico en sus cuatro dimensiones: hemodiálisis, uso de medicamentos, dieta y restricción hídrica. Métodos: Estudio descriptivo, transversal, con abordaje cualitativo, desarrollado en dos centros de hemodiálisis del Estado de Río de Janeiro. Datos recolectados mediante cuestionario de evaluación sobre la adhesión del enfermo de insufi ciencia renal crónica en hemodiálisis. Estos datos fueron analizados por estadística descriptiva simple. Resultados: El dominio que presentó mayor porcentaje de pacientes no adherentes fue la hemodiálisis, con 32%. La medicación fue el dominio con mayor porcentaje de pacientes adherentes, con 93,6%. Conclusión: La adhesión a la terapéutica es un comportamiento dinámico. Siendo esa su condición, merece recibir monitoreo constante. DescritoresCooperação do paciente; Adesão à medicação;

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“…Khalil ve ark.nın yapmış olduğu çalışmada hastaların çoğunluğu diyet ve sıvı kısıtlamasına uyum sağlamadıklarını saptamışlardır (30). Hastaların tedavi ve diyete uyumları bilgi, algı ve beceriye dayalı bir davranıştır.…”

Section: Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi Turkish Neunclassified

Hemodiyaliz Hastalarının Hipertansiyon Yönetimine İlişkin Evde Yaptıkları Uygulamalar

Gökdoğan¹,

Kes²,

Turgay³

et al. 2017

Turk Neph Dial Transpl

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Öz aMaÇ: Bu araştırmanın amacı, hemodiyaliz hastalarının hipertansiyon yönetimine ilişkin evde yaptıkları uygulamaları belirlemektir. GEREÇ ve YÖnTEMLER:Tanımlayıcı nitelikte yapılan çalışmanın evrenini Karabük ili sınırlarında bulunan iki devlet, bir özel ve bir eğitim araştırma hastanesi hemodiyaliz merkezinde tedavi gören toplam 279 hasta oluşturdu. Örneklemde ise 18 yaş üstü, hipertansiyonu olan, iletişim kurabilen, klinik durumu stabil olan, mental ve psikiyatrik rahatsızlığı olmayan, araştırmaya gönüllü olarak katılmayı kabul eden 120 hasta yer aldı.BuLGuLAR: Araştırmaya katılan hastaların %59,2'sinin evde kan basınçlarını düzenli olarak ölçmedikleri; %44,6'ünün ilaçlarını düzenli olarak kullanmadıkları, ilaçlarının adını ve dozunu bilmedikleri (sırasıyla % 60,7, % 64,3); %73,2'sinin hekim bilgisi dışında ilaçlarını kullanmayı bıraktıkları;%85'inin yemeklerinde tuz kullandığı ve %46,7'sinin sıvı kısıtlamasına uyum göstermediği saptandı.SOnuÇ: Hemodiyaliz hastalarının bireysel özelliklerine göre evde hipertansiyon yönetimine ilişkin düzenli eğitim, izlem ve danışmanlık yapılarak öz yönetimlerinin güçlendirilmesinde hemşirelik bakım yaklaşımının etkilerinin çalışmalarla ortaya konması önemli görünmektedir.AnAhTAR SÖzcükLER: Hipertansiyon, Hemodiyaliz, Hemşirelik, Evde bakım ABSTRAcTOBJEcTIVE: This study aimed to determine home application by hemodialysis patients for hypertension management. MATERIAL and METhOdS:The population of the descriptive study included a total of 279 patients who were treated at the hemodialysis centers of two state hospitals, one private hospital and one training and research hospital situated within Karabük province. A total of 120 patients who were over 18 years of age, had hypertension, could communicate, and whose clinic state were stable, who did not have any mental and psychiatric disorder and who accepted to participate in the research voluntarily were included in the sample. RESuLTS:It was determined that 59.2% of the patients who participated in the study did not measure their blood pressures at home regularly; 44.6% did not take their medication regularly and did not know the name and dosages of their medication (60.7% and 64.3% respectively); 73.2% had stopped taking medication without the physician's knowledge; 85% used salt in meals; and 70.8% and 46.7% respectively did not comply with the liquid limitation. cOncLuSIOn:It is important to reveal the effects of a nursing care approach for supporting hypertension self-management at home of our patients based on their individual characteristics through studies focusing on regular training, monitoring and providing consultancy services.

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Predictors of dietary and fluid non‐adherence in Jordanian patients with end‐stage renal disease receiving haemodialysis: a cross‐sectional study

Abstract: Identification of the factors that may worsen dietary and fluid non-adherence may lead to improved therapeutic interventions within the mainstream of medical practice for Jordanian patients with end-stage renal disease receiving haemodialysis.

Cited by 52 publications

References 32 publications

Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients

Adesão de portadores de doença renal crônica em hemodiálise ao tratamento estabelecido

Hemodiyaliz Hastalarının Hipertansiyon Yönetimine İlişkin Evde Yaptıkları Uygulamalar

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