Nepal Medical College, Kathmandu University, Kathmandu, Nepal.
Chitwan Medical College Teaching Hospital, Tribhuvan University, Bharatpur, Nepal.
J Nepal Health Res Counc. 2022 Jun 2;20(1):72-78. doi: 10.33314/jnhrc.v20i01.3828.
Hemodialysis remains a commonly available treatment option for many patients with end-stage renal disease. In addition to regular hemodialysis, these patients require regular use of medicines, follow fluid restriction and dietary modification. Hence, adherence to treatment remains a major factor to improve survival and quality of life among these patients. Therefore, this study was carried out to identify the adherence to treatment among patients undergoing hemodialysis.
A cross-sectional study was conducted among 160 patients undergoing hemodialysis at three centers of Bagmati province of Nepal from July to December 2020. We used End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) to record the adherence scores in different domains of treatment adherence. The scores were compared with different sociodemographic variables using nonparametric tests.
Out of a total score of 1200, the overall obtained mean score was 1084.07±125.58. The percentage of the respondents adhering to dialysis, medicines, fluid, and diet was 91.9%, 76.3%, 48.9%, and 43.0% respectively. Male patients scored significantly higher score in the diet. And the married patients scored higher in adherence to fluid. Patients with middle socio-economic status scored significantly higher score in adherence to hemodialysis treatment.
More than half of the respondents were non adherent to fluid and diet. Periodic motivation by health care professional and dietary counseling by dietitians might be helpful to improve the adherence to treatment.
血液透析仍然是许多终末期肾病患者常用的治疗选择。除了定期血液透析外，这些患者还需要定期使用药物，遵循液体限制和饮食调整。因此，坚持治疗仍然是改善这些患者生存和生活质量的主要因素。因此，本研究旨在确定接受血液透析治疗的患者的治疗依从性。
2020 年 7 月至 12 月，在尼泊尔巴格马蒂省的三个中心对 160 名接受血液透析的患者进行了横断面研究。我们使用终末期肾病依从性问卷（ESRD-AQ）记录治疗依从性不同领域的依从性评分。使用非参数检验比较了不同社会人口统计学变量的评分。
在总共 1200 分中，平均得分为 1084.07±125.58。遵守透析、药物、液体和饮食的患者比例分别为 91.9%、76.3%、48.9%和 43.0%。男性患者在饮食方面的得分明显更高。已婚患者在遵守液体方面的得分更高。中社会经济地位的患者在遵守血液透析治疗方面的得分明显更高。
超过一半的受访者不遵守液体和饮食规定。医疗保健专业人员定期进行激励和营养师提供饮食咨询可能有助于提高治疗依从性。
