Psychosocial influencers and mediators of treatment adherence in haemodialysis patients

Oh, Hyun Soo; Park, Ji Suk; Seo, Wha Sook

doi:10.1111/jan.12071

Cited by 26 publications

(37 citation statements)

References 40 publications

(119 reference statements)

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“…Barriers resulting from oversight also emerge (Oh et al., ). Some studies have detected an inverse relationship between diet nonadherence and the perception of the patient in regard to their behaviour.…”

Section: Resultsmentioning

confidence: 99%

“…Amongst the facilitators that enhance adherence to dietary and fluid restrictions, the perception or concept of disease was identified, together with self‐efficacy and the perception of control, which motivate adherence to healthy lifestyle habits (Clark et al., ; Khalil et al., ; Li et al., ; Mellon et al., ; Oh et al., ; Russel et al., ).…”

Section: Resultsmentioning

confidence: 99%

“…Family is important from the perspective of diet adherence because family dysfunction can act as an added barrier (Heras Mayoral & Martínez Rincón, ; Oh et al., ; Smith et al., ). Conversely, the people present in the patient's immediate environment during certain special occasions, such as having lunch in restaurants or on vacation, are perceived as a barrier against adherence (Palmer et al., ; Smith et al., ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

Oquendo

Asencio

Nieves

2017

Journal of Clinical Nursing

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

Oquendo

Asencio

Nieves

2017

Journal of Clinical Nursing

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“…(9) Taking into consideration that adherence is a dynamic phenomenon that needs to be influenced by several factors and may change quite frequently, it is imperative that the health team develops strategies to constantly promote adherence behavior. (10) In Switzerland, a prospective, randomized study was developed that proposed to separate patients into two groups: one group would be submitted to the integrated care approach (IC) and the other to the usual care (HC) approach. The study showed that, after six months of follow-up, 84% of the patients submitted to the IC group achieved satisfactory parathormone levels, compared to 55% of the patients in the habitual care group.…”

Section: Resultsmentioning

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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“…A study on prevalence of adherence in an Indian population was very low because of perceived susceptibility and severity of hypertension among their study population 13 . This could be attributed to low literacy levels to understand hypertension and its consequences if not controlled and also lack of continuous medical education to patients by health workers.…”

Section: Knowledge Of Hemodialysis Patients On Antihypertensive Medicmentioning

confidence: 99%

Untitled

2018

IJPSR

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Introduction:Patients with chronic kidney disease undergoing hemodialysis are usually co-morbid with hypertension that contributes to increased cardiovascular morbidity and mortality if not controlled. A number of factors are targeted as influencing agents to uncontrolled hypertension but adherence to treatment is counted as a major factor contributing to poor control of hypertension. Methods: A cross-sectional study was conducted at the renal unit amongst a sample size of 144 hypertensive patients aged 18 years and above, respondents were identified using simple random sampling. Data was collected using semi structured questionnaires. Data analysis using Chi square test was applied to establish significant relationships between the dependent variable (adherence) and independent variables (knowledge and perception), logistic regression was used to predict independent variables that influence adherence, and results with p values ≤ 0.05 were considered statistically significant. Adherence was determined using Morisky's Medication Adherence Scale (MMAS-8). Findings: Overall, 83(57.6%) of the patients were found to have high adherence rate to their antihypertensive medication. Factors that influenced adherence to antihypertensive medication were; age p = 0.23 (OR = 1.02, CI = 0.98-1.07), female gender had better adherence than males p = 0.98 (OR = 2.58, CI = 1.09-6.16), patients with health insurance p = 0.92 (OR = 0.35, CI = 0.15-0.84), knowledge of side effects of medication p = 0.58 (OR = 2.02, CI = 0.44-9.27), perception of severity p = 0.69 (OR = 3.61, CI = 1.02-12.78), perception of benefit p = 0.30 (OR = 3.22, CI = 1.06-9.79), and perception of barriers p = 0.75 (OR = 0.23, CI = 0.08-0.64). Conclusion: Healthcare workers should formulate interventions tailored towards scaling up adherence in those subgroups of hypertensive patients mentioned above in order to avert morbidities and mortalities as informed by the study.

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Psychosocial influencers and mediators of treatment adherence in haemodialysis patients

Cited by 26 publications

References 40 publications

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

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

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