Probing the Relationship Between Treatment Regimen Compliance and the Quality of Life in Hemodialysis Patients: A Descriptive-Analytic Study

Abstract

Background: Non-adherence to treatment regimens can bring about negative effects on the quality of life of hemodialysis patients. Objectives: The present study was conducted to explore the relationship between compliance with treatment regimens and the quality of life in these patients. Methods: This descriptive-analytic study investigated 68 hemodialysis patients who had referred to Imam Khomeini Hospital of Zabol, Southeast of Iran. The subjects were chosen via convenience sampling. Data were collected using a demographic questionnaire, a self-constructed scale for treatment regimen compliance, and the kidney disease quality of life short form (KDQOL-SF). Descriptive statistics, Pearson correlation coefficient, and t-test were used to analyze the data by SPSS 22. Results: The results showed that 77% of patients moderately adhered to treatment regimens, and the mean quality of life in hemodialysis patients was 56.36 ± 17.41. Pearson correlation coefficient revealed a positive significant relationship between the quality of life and compliance with treatment regimens in the study population (P = 0.02). Conclusions: According to the findings of this study, it is recommended that appropriate educational programs should be designed to improve the quality of life in hemodialysis patients by encouraging their adherence to treatment regimens.

Quality of life of chronic kidney patients on hemodialysis and related factors

“…Research in Iran has shown a significant positive relationship between treatment adherence and the overall quality of life score, as well as with all its dimensions. The authors emphasized the need for personalized educational interventions in order to sensitize the patient about his condition and the importance of adherence to treatment ( 35 ) . It is inferred that not using the medication properly increases the perception of the symptoms of the disease and the occurrence of damage to physical, psycho-emotional and social well-being.…”

“…It is assessed that the weakness interferes with the recovery time after dialysis, the return to daily activities and, in this context, the reduce intercurrences (34) . his condition and the importance of adherence to treatment (35) . It is inferred that not using the medication properly increases the perception of the symptoms of the disease and the occurrence of damage to physical, psycho-emotional and social well-being.…”

Compliance and adherence to drug treatment on patients with chronic kidney disease in high prevalence areas of North Central Province, Sri Lanka

“…16 Personal beliefs, cultural and social characteristics, and drinking of water and certain fluids are factors influencing the treatment regimens. 17 There are several physical and emotional symptoms the CKD patients experience in the course of their treatment. 18 Disabling symptoms, various restrictions to food and social life, fluid restriction, associated stigma and taboos are the factors affected to daily life of the patients from the early stages of the disease to its end stage.…”

“…19 End stage renal disease (ESRD) can lead to irreversible renal impairment. 17 In ESRD, renal replacement therapy (RRT) is needed to manage patients with CKD. Hemodialysis and kidney transplantation are the types of RRT.…”

“…25 Development of CKD and the onset of dialysis reduce the quality of life, which affect the compliance and adherence of the patients. 17 Additionally, it causes for economic burden, both directly and indirectly. 23 The information of adherence and compliance towards medications for CKD/CKDu is sparse.…”