Hemodialysis regimen compliance and social environment: a panel analysis.

This correlational panel analysis, which investigated compliance behavior of chronic hemodialysis patients, was based on the assumption that attitudes and behaviors are influenced by those of significant others with whom the patient interacts on a continuing basis. Data for the study were collected initially and after a three-year interval, when a panel of 63 patients was identified. Study variables were operationalized by scales relating to social environment and compliance with the hemodialysis regimen. Analysis revealed the existence of statistically significant associations between patients' perceptions of the expectations of significant others, in terms of both primary group members--i.e., family and friends--and secondary group members--i.e., hemodialysis center personnel--and compliance. Multiple regression procedures were used to evaluate these relationships while holding constant the variable of education.