Alatawi Amnah A, Alaamri Marym, Almutary Hayfa
Registered Nurse (RNs), King Fahad Specialist Hospital, Tabuk 32253, Saudi Arabia.
Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Healthcare (Basel). 2024 Oct 1;12(19):1958. doi: 10.3390/healthcare12191958.
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.
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.
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.
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.
背景/目的：遵循推荐的治疗方案是治疗成功的关键。在血液透析中，在许多医疗机构中坚持治疗方案仍然是一项挑战。许多因素，包括患者的社会支持水平，都会影响治疗依从性，但很少有研究探讨这些关系。
采用相关性横断面设计来评估血液透析患者感知到的社会支持与治疗方案依从性之间的关系。使用自我报告的调查来收集数据。
从两个透析中心招募了121名血液透析患者。总体而言，45.5%的参与者表现出良好的依从性，47.9%的人依从性中等，6.6%的人依从性差。具体而言，76%的参与者持续服用规定药物，75%的人定期参加血液透析治疗，67.8%的人遵守饮食限制，62%的人遵循液体摄入指南。报告称，家庭成员给予的感知社会支持最高（89.3%），其次是重要他人（62.8%）和朋友（49.6%）。血液透析患者感知到的社会支持与总体治疗依从性之间存在显著相关性。
本研究为血液透析患者感知到的社会支持与治疗方案依从性之间的正向关系提供了证据。建议专业护理人员对患者及其家属进行干预，为血液透析患者准备娱乐和教育项目，并鼓励其他研究人员提出不同的社会支持模式和方法。
