Journals / Ankara Medical Journal / 2017 / Cilt: 17 - Sayı: 4

Assessment of Compliance with Treatment in Hemodialysis Patients

Hemodiyaliz Hastalarında Tedaviye Uyumun Değerlendirilmesi

Pages
275–283
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The level of knowledge in females was higher than males (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Success in treatment of dialysis patients is largely dependent on the patient's diet, fluid restriction and regular use of medications.
📊
Key Findings & Data:Materials and Methods: The study included 102 patients who underwent hemodialysis treatment between May 1 - June 30, 2017.
💡
Conclusion & Impact:The level of knowledge in females was higher than males (p
🔬Design:Survey & Empirical Study
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: Success in treatment of dialysis patients is largely dependent on the patient's diet, fluid restriction and regular use of medications. Patients are more cautious about diet, but do not pay attention to drug use and fluid restriction. To reduce mortality in hemodialysis patients we need to improve the compliance of the patients. We aimed to evaluate the level of knowledge and motivation about diseases and treatment compliance of hemodialysis patients in our study. Materials and Methods: The study included 102 patients who underwent hemodialysis treatment between May 1 - June 30, 2017. A Questionnaire form including some sociodemographic characteristics, clinical features and laboratory values for the last 3 months of the individuals was applied with face toface interview method by the investigators. Modified Morisky Scale was used in the evaluation of treatment compliance in the study. Results: 58 (56.90%) of the patients were male and 44 (43.10%) were female. The mean age of the patients ranged from 30 to 85 years and the mean age was 60.90 ± 12.00 years. In hemodialysis patients, 88 (86.30%) people had high motivation and 93 (91.20%) people had high level of knowledge. There was no correlation between age, education status, marital status, body mass index, duration of dialysis, kidney transplantation history and diabetes mellitus and the knowledge and motivation levels of the patients. The level of knowledge in females was higher than males (p

Özet

Amaç: Diyaliz hastalarında tedavide başarı; büyük ölçüde hastaların diyet, sıvı kısıtlaması ve ilaçları düzenli kullanmalarına bağlıdır. Hastaların diyet konusunda daha dikkatli oldukları, ancak ilaç kullanımı ve sıvı kısıtlamasına dikkat etmedikleri görülmektedir. Hemodiyaliz hastalarında mortaliteyi azaltmak için hastaların tedaviye uyumunu artırmak gerekir. Çalışmamızda hemodiyaliz tedavisiuygulanan hastaların tedaviye uyumunu, hastalıkları hakkındaki bilgi ve motivasyon düzeylerini değerlendirmeyi amaçladık.Materyal ve Metot: Çalışmaya Mayıs--30 Haziran 2017 tarihleri arasında hemodiyaliz tedavisi uygulanan 102 hasta dâhil edildi. Hastaların bazı sosyodemografik özelliklerini, klinik özelliklerini ve sonüç ay içindeki laboratuvar değerleri ile ilgili soruları içeren anket formu, yüz yüze görüşme yöntemi ile ilgili araştırmacılar tarafından dolduruldu. Çalışmada; tedaviye uyumun değerlendirilmesinde ModifiyeMorisky Ölçeği kullanıldı.Bulgular: Hastaların 58'i (%56,90) erkek, 44'ü (%43,10) ise kadın idi. Hastaların yaşları 30--85 arasında değişmekte olup, ortalama 60,9oiı2,oo yıl idi. Hemodiyaliz hastalarında 88 (%86,30) kişide yüksekmotivasyon, 93 (%91,20) kişide yüksek bilgi düzeyi tespit edildi. Yaş, öğrenim durumu, medeni durum, beden kitle indeksi, diyaliz süresi, böbrek nakli öyküsü ve diabetes mellitus varlığı ile hastaların bilgi ve motivasyon düzeyleri arasında ilişki saptanmadı. Kadınlarda bilgi düzeyi erkeklere göre daha yüksekbulundu (p

🔖

Cite This Article

ÜNLÜOĞLU, İ., BALCIOĞLU, H., BİLGE, U., OZKURT, S., SAĞLAN, Y., GÖLGELİ, H., SAĞLAN, R. (2022). Assessment of Compliance with Treatment in Hemodialysis Patients. Ankara Medical Journal, Cilt: 17 - Sayı: 4, 275–283. https://ajindex.com/articles/442032

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Seyahi N, Ateş K, Süleymanlar G. Türkiye'de renal replasman tedavilerinin güncel durumu: Türk nefroloji derneği kayıt sistemi 2014 yılı rapor Özeti. Turk Neph Dial Transpl 2016;25(2):135--41
  2. Bame SI, Petersen N, Wray NP. Variation in hemodialysis patient compliance according to demographic characteristics. Soc Sci Med 1993;37:1035--43
  3. Kutner NG. Improving compliance in dialysis patients: does anything work? Semin Dial 2001;14:324--7
  4. Eknoyan G, Lameire N, Barsoum et al. The burden of kidney disease: improving global outcomes. Kidney Int 2004;66:1310--4
  5. Kutner NG, Zhang R, McClellanWM, Cole SA. Psychosocial predictors of non--compliance in haemodialysis and peritoneal dialysis patients. Nephrol Dial Transplant 2002;17:93--9
  6. Curtin RB, Svarstad BL, Andress D, Keller T. Differences in older versus younger haemodialysis patients' noncompliance with oral medications. Geriatr Nephrol Urol 1997;7(1):35-44- 7. Kimmel PL, Varela MP, Peterson RA et al. Interdialytic weight gain and survival in hemodialysis patients: effects of duration of ESRD and diabetes mellitus. Kidney Int 2000;57:1141--1151
  7. Kugler C, Vlaminck H, Haverich A, Maes B. Nonadherence with diet and fluid restrictions among adults having hemodialysis. Nurs Scholars 2005;37:25--9
  8. Oka M, Chaboyer W. Dietary behaviors and sources of supportin hemodialysis patients. Clinical Nursing Research, 1999;8(4):302--317
  9. Durose CL, Holdsworth M, Watson V, Przygrodzka F. Knowledge of dietary restrictions and the medical consequences of noncompliance by patients on hemodialysis are not predictive of dietary compliance. Am Diet Assoc 2004;104:35-41
  10. Tanner ]L, Craig CB, Bartolucci AA, et al. The effect of self--monitoring tool on self-- effıcacy, health beliefs, and adherence in patients receiving hemodialysis. Ren Nutr 1998;8z203-11
  11. Leggat ]E. Adherence with dialysis: focus on mortality risk. Semin Dial 2005;18:137-41.