Medication, Diet, Fluid and Treatment Adherence Behavior Among Patients Subjected to Hemodialysis in Selected Hospital, India

Porkodi Arjunan¹, Judie Arulappan², Sreelekha Bhaskara Kurup¹, Aruna Subramaniam³ and Munikumar Ramasamy Venkatasalu⁴  

¹Department of Medical Surgical Nursing, Faculty of Nursing, Sri Ramachandra University, Porur, Chennai, 600 116 Tamil Nadu State, India.

²Department of Maternal and Child health, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman.

³Department of Community Health  Nursing, Faculty of Nursing, Sri Ramachandra University, Porur, Chennai, Tamil Nadu State, India.

⁴PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, University Brunei Darussalam, Jalan Tungku Link Gadong, Negara Brunei Darussalam.

Corresponding Author E-mail: judie@squ.edu.om

DOI : http://dx.doi.org/10.13005/bbra/2629

ABSTRACT: The study aimed to explore adherence behavior towards medication, diet, fluid, and treatment, and determine the perception about treatment among patients subjected to hemodialysis (HD). A cross sectional descriptive research design was adopted. 100 patients subjected to hemodialysis were recruited and End stage renal disease adherence questionnaire was used to evaluate the adherence behavior and perception towards HD treatment. All (100 %) patients were adherent to dialysis treatment.  65 % of them perceived that following the fluid restrictions were important. Considerable difference was observed in adherence behavior to follow fluid and diet recommendations. The study aimed to explore adherence behavior towards medication, diet, fluid, and treatment, and determine the perception about treatment among patients subjected to hemodialysis. The findings of the study assert that the patients subjected to hemodialysis have limited awareness on diet and fluid restrictions. This information builds on to the knowledge to the nursing practice that all the patients undergoing hemodialysis must be educated with essential information on diet, fluid and treatment. The finding of this study gives direction that much attention needs to be given to the essential informational needs of patients undergoing hemodialysis. Holistic nursing care has gained much importance in recent years. All the patients undergoing hemodialysis should be considered as a “whole” individual where all the needs of the patients including physical, psychological, social, spiritual, informational needs must be met. This in turn will improve the wellbeing and quality of life of the patients. Tailored information prescriptions related to diet, fluid and medication recommendations would improve adherence behavior among patients subjected to Hemodialysis.

KEYWORDS: Adherence Behavior; end Stage Renal Disease Fluid Restrictions; Hemodialysis;

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