Evaluation of Adherence to Treatment Regimen and Related Factors in Hemodialysis Patients

Arad, Mansour; Imanifar, Nasrin; Kazemi Najm, Milad

doi:10.22087/ijac.2025.526186.1062

Evaluation of Adherence to Treatment Regimen and Related Factors in Hemodialysis Patients

Document Type : Research

Authors

Mansour Arad ¹

Nasrin Imanifar ²

Milad Kazemi Najm ³

¹ Department of Medical-Surgical Nursing, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Science, Sanandaj, Iran

² Department of Nursing, Khor.C., Islamic Azad University, Khorramabad, Iran

³ Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran

10.22087/ijac.2025.526186.1062

Abstract

Non-adherence to treatment regimens is a prevalent issue among patients undergoing hemodialysis and is recognized as a contributing factor to disease progression, increased hospitalization rates, and suboptimal responses to hemodialysis. Given the multitude of factors influencing treatment non-adherence and the critical role of adherence in enhancing the quality of life for hemodialysis patients, this study was conducted to assess adherence to treatment regimens and associated factors among hemodialysis patients at Taleghani Hospital, Urmia. In this descriptive-correlational study, 66 hemodialysis patients were selected through convenience sampling. Demographic data were collected using a questionnaire, and treatment adherence was evaluated using the End-Stage Renal Disease Adherence Scale. Data analysis revealed a mean total treatment adherence score of 551.38 ± 181.71. The subdimensions included adherence to hemodialysis treatment (238.37 ± 67.78), medication regimen adherence (85.33 ± 39.45), dietary regimen adherence (99.93 ± 45.22), and fluid restriction adherence (127.75 ± 29.26). Total treatment adherence scores demonstrated a significant inverse relationship with urban versus rural residence and a direct correlation with the mean age of the patients. In conclusion, the study results indicate that patients' treatment adherence was moderate, likely attributable to the chronic nature of the disease, economic and livelihood challenges, and a lack of patient awareness. Enhanced attention to the causes of non-adherence in hemodialysis patients is imperative.

Keywords

End stage renal disease

Hemodialysis

Adherence to treatment

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