Treatment adherence of chronic kidney disease patients on hemodialysis

Lins, Silvia Maria de Sá Basílio; Leite, Josete Luzia; Godoy, Simone de; Tavares, Joyce Martins Arimatea Branco; Rocha, Ronilson Gonçalves; Silva, Frances Valéria Costa e

doi:10.1590/1982-0194201800009

Brazil

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Original Article • Acta Paul Enferm. 31 (1) • Jan-Feb 2018 • https://doi.org/10.1590/1982-0194201800009 linkcopy

Treatment adherence of chronic kidney disease patients on hemodialysis

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective: Identify the adherence behavior of chronic kidney patients to the four dimensions of the therapeutic regimen: hemodialysis, medication use, diet and fluid 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.

Keywords Patient compliance; Medication adherence; Renal insufficiency, chronic; Renal dialysis

Variables	Total cases n(%)
What type of difficulty do you experience to maintain your recommended diet?
Does not apply: no difficulty	31(39.7)
I am not willing to control what I want to eat	3(3.9)
I do not manage to avoid some non-recommended foods	44(56.4)
I do not understand what type of diet I have to follow	0(0)
Total	78(100)
If you have any difficulty to comply with the fluid restriction, what type of difficulty do you experience?
I experience no difficulty	33(42.3)
I do not want to follow the fluid restriction	2(2.6)
I do not manage to follow the fluid restriction	43(55.1)
I do not understand what I should do to follow the fluid restriction	0(0)
Total	78(100)

Domain	Status	n(%)	Mean score
Hemodialysis	Adherent	53(68)	558.02
	Non-adherent	25(32)	352.00
	Total	78(100)	-
Medication	Adherent	73(93.6)	177.40
	Non-adherent	5(6.4)	30.00
	Total	78(100)	-
Fluid intake	Adherent	64(82.1)	128.91
	Non-adherent	14(17.9)	7.14
	Total	78(100)	-
Diet	Adherent	67(85.9)	126.87
	Non-adherent	11(14.1)	27.27
	Total	78(100)	-

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Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[TFN3] % - percentage; n – sample size