Social Support and Adherence to Treatment Regimens Among Patients Undergoing Hemodialysis

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Oct 16

PMID 39408138

Authors

Amnah A Alatawi

Marym Alaamri

Hayfa Almutary

Affiliations

Soon will be listed here.

Abstract

Background/objectives: Following recommended treatment plans is essential to the success of the treatment. In hemodialysis, adherence to the treatment regimen remains a challenge in many healthcare settings. Many factors, including the patient's level of social support, influence treatment adherence, but few studies have addressed these relationships.

Methods: A correlational cross-sectional design was used to assess the relationship between perceived social support and adherence to treatment regimens among patients undergoing hemodialysis. Self-reported surveys were used to collect data.

Results: One hundred and twenty-one hemodialysis patients were recruited from two dialysis centers. Overall, 45.5% of participants demonstrated good adherence, 47.9% had moderate adherence, and 6.6% had poor adherence. Specifically, 76% of participants consistently took their prescribed medications, 75% regularly attended hemodialysis sessions, 67.8% adhered to dietary restrictions, and 62% followed fluid-intake guidelines. Perceived social support was reported as highest from family members (89.3%), followed by significant others (62.8%) and friends (49.6%). There were significant correlations between perceived social support and overall adherence to treatments among hemodialysis patients.

Conclusions: This study provides evidence for positive relationships between perceived social support and adherence to treatment regimens among hemodialysis patients. It is recommended that professional caregivers intervene with clients and their families, prepare recreational and educational programs for patients undergoing hemodialysis, and inspire other researchers to suggest different social support models and approaches.

References

Mukakarangwa M, Chironda G, Bhengu B, Katende G . Adherence to Hemodialysis and Associated Factors among End Stage Renal Disease Patients at Selected Nephrology Units in Rwanda: A Descriptive Cross-Sectional Study. Nurs Res Pract. 2018; 2018:4372716. PMC: 6008892. DOI: 10.1155/2018/4372716. View

Ghimire S, Castelino R, Lioufas N, Peterson G, Zaidi S . Nonadherence to Medication Therapy in Haemodialysis Patients: A Systematic Review. PLoS One. 2015; 10(12):e0144119. PMC: 4670103. DOI: 10.1371/journal.pone.0144119. View

Naalweh K, Barakat M, Sweileh M, Al-Jabi S, Sweileh W, Zyoud S . Treatment adherence and perception in patients on maintenance hemodialysis: a cross - sectional study from Palestine. BMC Nephrol. 2017; 18(1):178. PMC: 5450383. DOI: 10.1186/s12882-017-0598-2. View

Dantas L, Rocha M, Junior J, Paschoalin E, Paschoalin S, Sampaio Cruz C . Non-adherence to Haemodialysis, Interdialytic weight gain and cardiovascular mortality: a cohort study. BMC Nephrol. 2019; 20(1):402. PMC: 6836324. DOI: 10.1186/s12882-019-1573-x. View

Daniels G, Robinson J, Walker C . Adherence to Treatment by African Americans Undergoing Hemodialysis. Nephrol Nurs J. 2018; 45(6):561-568. View

Halle M, Nelson M, Kaze F, Jean Pierre N, Denis T, Fouda H . Non-adherence to hemodialysis regimens among patients on maintenance hemodialysis in sub-Saharan Africa: an example from Cameroon. Ren Fail. 2020; 42(1):1022-1028. PMC: 7580605. DOI: 10.1080/0886022X.2020.1826965. View

Alkatheri A, Alyousif S, Alshabanah N, Albekairy A, Alharbi S, Alhejaili F . Medication adherence among adult patients on hemodialysis. Saudi J Kidney Dis Transpl. 2014; 25(4):762-8. DOI: 10.4103/1319-2442.134990. View

Vr V, Kaur Kang H . The Worldwide Prevalence of Nonadherence to Diet and Fluid Restrictions Among Hemodialysis Patients: A Systematic Review and Meta-analysis. J Ren Nutr. 2021; 32(6):658-669. DOI: 10.1053/j.jrn.2021.11.007. View

Sousa H, Ribeiro O, Paul C, Costa E, Miranda V, Ribeiro F . Social support and treatment adherence in patients with end-stage renal disease: A systematic review. Semin Dial. 2019; 32(6):562-574. DOI: 10.1111/sdi.12831. View

10.

Nerbass F, Correa D, Dos Santos R, Kruger T, Sczip A, Vieira M . Perceptions of hemodialysis patients about dietary and fluid restrictions. J Bras Nefrol. 2017; 39(2):154-161. DOI: 10.5935/0101-2800.20170031. View

11.

Asadizaker B, Gheibizadeh M, Ghanbari S, Araban M . Predictors of Adherence to Treatment in Hemodialysis Patients: A Structural Equation Modeling. Med J Islam Repub Iran. 2022; 36:23. PMC: 9386773. DOI: 10.47176/mjiri.36.23. View

12.

Reyes M, Fuertes J, Moore M, Punnakudiyil G, Calvo L, Rubinstein S . Psychological and relational factors in ESRD hemodialysis treatment in an underserved community. Patient Educ Couns. 2020; 104(1):149-154. DOI: 10.1016/j.pec.2020.06.002. View

13.

Zeitouny S, Cheng L, Wong S, Tadrous M, McGrail K, Law M . Prevalence and predictors of primary nonadherence to medications prescribed in primary care. CMAJ. 2023; 195(30):E1000-E1009. PMC: 10446155. DOI: 10.1503/cmaj.221018. View

14.

Ozen N, Cinar F, Askin D, Mut D, Turker T . Nonadherence in Hemodialysis Patients and Related Factors: A Multicenter Study. J Nurs Res. 2019; 27(4):e36. PMC: 6641098. DOI: 10.1097/jnr.0000000000000309. View

15.

Park K, Choi-Kwon S, Sim Y, Kim S . Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. J Ren Nutr. 2008; 18(5):415-23. DOI: 10.1053/j.jrn.2008.04.004. View

16.

Ahrari S, Moshki M, Bahrami M . The Relationship Between Social Support and Adherence of Dietary and Fluids Restrictions among Hemodialysis Patients in Iran. J Caring Sci. 2014; 3(1):11-9. PMC: 4134167. DOI: 10.5681/jcs.2014.002. View

17.

Brundisini F, Vanstone M, Hulan D, DeJean D, Giacomini M . Type 2 diabetes patients' and providers' differing perspectives on medication nonadherence: a qualitative meta-synthesis. BMC Health Serv Res. 2015; 15:516. PMC: 4657347. DOI: 10.1186/s12913-015-1174-8. View

18.

Ohya M, Iwashita Y, Kunimoto S, Yamamoto S, Mima T, Negi S . An Analysis of Medication Adherence and Patient Preference in Long-term Stable Maintenance Hemodialysis Patients in Japan. Intern Med. 2019; 58(18):2595-2603. PMC: 6794165. DOI: 10.2169/internalmedicine.2676-19. View

19.

Xie X, Yang H, Nie A, Chen H, Li J . Predictors of medication nonadherence in patients with systemic lupus erythematosus in Sichuan: a cross-sectional study. Patient Prefer Adherence. 2018; 12:1505-1511. PMC: 6112788. DOI: 10.2147/PPA.S169776. View

20.

Miyata K, Shen J, Nishio Y, Haneda M, Dadzie K, Sheth N . Patient knowledge and adherence to maintenance hemodialysis: an International comparison study. Clin Exp Nephrol. 2017; 22(4):947-956. PMC: 5972057. DOI: 10.1007/s10157-017-1512-8. View