Relation between Therapeutic Compliance and Functional Status of Patients Undergoing Hemodialysis

Abstract

Hemodialysis is the most common treatment modality for patients with end stage renal disease. The functional status of patients who underwent hemodialysis is decreased over time and may affect the patients' compliance with the treatment process. Aim: This study aimed to determine the relation between therapeutic compliance and functional status of patients undergoing hemodialysis through the following: (1) Assessment of functional status of patients undergoing hemodialysis. (2) Assessment of therapeutic compliance of patients undergoing hemodialysis. (3) Determine the relation between functional status and therapeutic compliance for patients undergoing hemodialysis. Study design: A descriptive -correlational research design was used to achieve the aim of this study. Setting: This study was carried out in the Hemodialysis Unit at Edku General Hospital affiliated to Health Insurance Hospitals at Elbeheira Governorate, Egypt. Subjects: A convenience sample of all patients (n=100 patients) undergoing hemodialysis in Hemodialysis Unit in Edku General Hospital were recruited to participate in this study. Data collection tools: (1) Patients' assessment tool: to assess demographic characteristics and clinical data of patients. (2) End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): to assess therapeutic compliance for patients undergoing hemodialysis. (3) Choice Health Experience Questionnaire (CHEQ): to assess functional status of patients undergoing hemodialysis. Results: The results of the study showed that 69% of the studied patients were non-compliant to their therapeutic regimen, and 81% of them had poor level of functional status. Conclusion: The study concluded that there was statistically significant relation between overall functional status of patients undergoing hemodialysis and overall compliance with the therapeutic regimen. Recommendations: It is recommended to develop and educational booklet for patients undergoing hemodialysis to improve their adherence to the treatment regimen