ArticleBMC nephrology2017
Treatment adherence and perception in patients on maintenance hemodialysis: a cross - sectional study from Palestine.
Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Pharmacist-led behavioral change intervention improves adherence and clinical outcomes among hemodialysis patients.Scientific reports · 2025Trial
- Trial
- Trial
- Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomized controlled trial.BMC nephrology · 2021Trial
- Psychometric Properties of the Treatment Adherence Questionnaire in Hemodialysis Patients: A Cross-Sectional Study Using Social Cognitive Theory.Health science reports · 2026Article
- The Relationship Between Spiritual Well-Being, Resilience, and Adherence Among Patients Receiving Hemodialysis Treatment in Türkiye.Journal of religion and health · 2026Article
- Development and Preliminary Testing of the Healthy Transition Scale for Patients Undergoing Haemodialysis.International journal of nursing practice · 2026Article
- Article
- Exploring the relationship between intravenous iron therapy and troponin T levels in hemodialysis patients: a cross-sectional study.BMC nephrology · 2025Article
- End-stage kidney diseases in areas of conflict: patients' perspective and patient access to hemodialysis services in Northwest Syria.BMC health services research · 2025Article
- The Effect of Fistula Care Education Given with a Mobile Application on Disease Adherence and Self-Care Behaviors in Hemodialysis Patients: A Quasi-Experimental Study.Florence Nightingale journal of nursing · 2025Article
- The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen.Frontiers in cardiovascular medicine · 2025Article
- Adherence to Treatment Regimens Among End-Stage Renal Disease Patients: A Cross-Sectional Study.International journal of nephrology and renovascular disease · 2025Article
- Article
- Social Support and Adherence to Treatment Regimens among Patients Undergoing Hemodialysis.Healthcare (Basel, Switzerland) · 2024Article
- Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.BMC nephrology · 2024Article
- The utilization of renal dialysis: a comprehensive study in Saudi Arabia.BMC public health · 2024Article
- Predictive Role of Resilience and Hope on Adherence to Treatment in Hemodialysis Patients.Investigacion y educacion en enfermeria · 2024Article
- Medication Adherence Barriers and Their Relationship to Health Determinants for Saudi Pediatric Dialysis Patients.Children (Basel, Switzerland) · 2024Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdherence to diet recommendations, fluid restriction, prescribed medications, and attendance at hemodialysis (HD) sessions are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Palestine. Therefore, this study was carried out to assess adherence to diet, fluid restriction, medications, and HD sessions.
methodsA cross-sectional study of HD patients at An-Najah National University Hospital was carried out during summer, 2016. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ). Predialytic serum levels of potassium and phosphate were obtained as clinical indicator of diet and medication adherence respectively. In addition, interdialytic body weight (IDW) was also obtained from medical records and analyzed in relation to reported adherence of fluid restriction.
resultsA total of 220 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.82 ± 14.51 years. Dietary adherence was observed in 24% while that of fluid restriction adherence was observed in 31% of studied patients. Reported adherence to HD sessions was 52% while that for medications was 81%. Overall, 122 (55.5%) patients had good adherence, 89 (40.5%) had moderate adherence, and 9 (4.1%) had poor adherence behavior. Male patients had significantly higher overall adherence scores than females (p = 0.034). A significant correlation between reported diet adherence and serum pre-HD potassium level (p < 0.01) was observed. A significant correlation between reported fluid restriction adherence and IDW (p < 0.01) was also found. However, no significant correlation between reported adherence and pre-HD phosphate level. There was significant correlation between overall perception and overall adherence score (p < 0.001). Counselling of patients regarding importance of adherence modalities was lowest for "staying for the entire dialysis time". Multivariate analysis indicated that elderly male patients who were city residents had higher odds of having higher adherence score.
conclusionsThere was a good percentage of patients who had overall moderate or poor adherence. ESRD-AQ could be used to assess some aspects of HD adherence. Counselling and education of patients on HD are important to improve therapeutic outcome.
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