Assess the Illness Perception and Treatment Adherence among Patients with End-Stage Renal Disease
Abstract
Background: Chronic Renal Disease (CRD) complications had a sizeable effect on the patients. This study evaluates illness perception, treatment adherence and clinical outcomes of patients with End‑StageRenal Disease (ESRD) and finds an association with variables.
Materials and Methods: Adescriptivecross‑sectional study was conducted among patients at Sri Ramachandra Institute of Higher Educationand Research, Chennai, India during October and November 2017. Data were collected throughinterviews of each patient separately before hemodialysis. Demographic, clinical variables, identitydimension and control dimension of patients were assessed. Adherence behaviours were measuredusing ESRD‑AQ in four dimensions. Clinical outcome was evaluated based on biochemicalparameters. The collected data were analysed by percentage distribution and regression analysis.
Results: The study had 120 patients with ESRD with male to female ratio of 2:1 where the majority (35.80%) were in the age group of 51–60. The identity dimension mean (SD) score was 10.80 (1.51). Under the control dimension mean scores were higher in the sub‑dimension of emotionalrepresentations, consequences and personal control. Among 120 patients, 63 (52.50%) had adherenceto dietary restriction. A statistically significant association was observed between timeline with Body Mass Index (BMI) (F3 = 4.81, p = 0.003) and comorbidity (F2 = 2.99, p = 0.022).
Conclusions: The higher mean score in the sub‑dimensions of emotional representations indicates a higher degree of emotional distress due to low adherence to prescribed medications.
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Jha V, Modi G. Uncovering the rising kidney failure deaths in India. Lancet Glob Health 2017,5:e14 5.
García García G, Jha V. World Kidney Day 2015 CKD in disadvantaged populations. American J Nephrol 2015;27101 10.
Lee MC, Wu SF, Hsieh NC, Tsai JM. Self management programs on eGFR, depression, and quality of life among patients with chronic kidney disease: A meta analysis. Asian Nurs Res 2016,10:255 62.
Jha V. Current status of end stage renal disease care in India and Pakistan. Kidney Int Suppl 2013;3:157 60.
Novak M, Costantini L, Schneider S, Beanlands H. Approaches to self management in chronic illness. Semin Dial 2013;26:188 94.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095 128.
Coresh J, Astor BC, Greene T, Eknoyan G, Levey AS. Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Third national health and nutrition examination survey. Am J Kidney Dis 2003;41:1 2.
Li YN, Shapiro B, Kim JC, Zhang M, Porszasz J, Bross R, et al. Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients. Chronic Dis Transl Med 2016;2:110 9.
Bagshaw SM, Berthiaume LR, Delaney A, Bellomo R. Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: A meta analysis. Crit Care Med 2008;36:610 7.
Couser WG, Remuzzi G, Mendis S, Tonelli M. The contribution of chronic kidney disease to the global burden of major noncommunicable diseases. Kidney Int 2011;80:1258 70.
Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of quality of life in patients undergoing hemodialysis and peritoneal dialysis: A systematic review and meta analysis. Kidney Blood Press Res 2017;42:717 27.
Martos Méndez MJ. Self efficacy and adherence to treatment: The mediating effects of social support. J Behav Health Soc 2015;7:19 29.
Wong M, Ghebleh P, Phillips S. Tips for dialysis patients with fluid restrictions. J Ren Nut 2017;27:e35 8.
Sak J, Dryl Rydzyńska T, Książek A. Relationships between perception of illness, social support and hemodialysis adequacy. Polish J Pub Health 2014;124:174 7.
Jayanti A, Foden P, Wearden A, Mitra S. Illness beliefs in end stage renal disease and associations with self care modality choice. PLoS One 2016;11:e0154299.
Kim Y, Evangelista LS, Phillips LR, Pavlish C, Kopple JD. The end stage renal disease adherence questionnaire (ESRD AQ): Testing the psychometric properties in patients receiving in center hemodialysis. Nephrol Nurs J 2010;37:377 93.
Ahlawat R, Tiwari P, D’Cruz S. Prevalence and predictors of medication non adherence in patients of chronic kidney disease: Evidence from a cross sectional study. J Pharma Care Health Sys 2016;3:2376 0419.
Sharaf AY. The impact of educational interventions on hemodialysis patients’ adherence to fluid and sodium restrictions. IOSR J NurHeal Sci Ghaziabad 2016;5:50 60.
Beto JA, Schury KA, Bansal VK. Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: A narrative review and commentary. Int J Nephrol Renovasc Dis 2016;9:21.
Parsons MA, Pender NJ, Murdaugh CL. Health Promotion in Nursing Practice. Pearson Higher Ed; 2011.
Timmers L, Thong M, Dekker FW, Boeschoten EW, Heijmans M, Rijken M, et al. Illness perceptions in dialysis patients and their association with quality of life. Psychol Heal 2008;23:679 90.
Al Khattabi G. Prevalence of treatment adherence among attendance at hemodialysis in Makah. Int J Med Sci Public Health 2014;3:592 8.
Ahrari S, Moshki M, Bahrami M. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. J Car Sci 2014;3:11 9.
Park JY, Yoo KD, Kim YC, Kim DK, Joo KW, Kang SW, et al. Early dialysis initiation does not improve clinical outcomes in elderly end stage renal disease patients: A multicenter prospective cohort study. PLoS One 2017, 12:e0175830.
Soleymanian T, Kokabeh Z, Ramaghi R, Mahjoub A, Argani H. Clinical outcomes and quality of life in hemodialysis diabetic patients versus non diabetics. J Nephropathol 2017;6:81
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