Korean J Rehabil Nurs.  2018 Dec;21(2):71-82. 10.7587/kjrehn.2018.71.

Difficulties of Treatment Adherence in Adult Patients with Hemodialysis

• Gil CR
• Sung KM

• KMID: 2437254
• DOI: http://doi.org/10.7587/kjrehn.2018.71

Abstract

PURPOSE
This research is to describe and identify the difficulties of compliance to medical regimen, by implementing interviews with hemodialysis patients.
METHODS
The research data was collected from July, 2017 to October, 2017. In-depth interviews were implemented using a semi-structured questionnaire. The data were analyzed by qualitative content analysis method.
RESULTS
The fourteen subjects diagnosed with chronic renal failure were attended. The difficulties of adherence to medical regimen that the hemodialysis patients feel consisted of 14 themes and they were categorized into five subjects; "˜Difficulty in practicing self-care', "˜Repetition of Negative feelings', "˜Withdrawal of Social activity', "˜Lack of expertise', "˜Uncertainty about the future'.
CONCLUSION
To facilitate the hemodialysis patients' adherence to medical regimen, the change of their basic life style is required. Also, tailored nursing intervention considering not only their physical characteristics but also their psychological and affective characteristics is required to increase their self-management and adaptation to the disease.

Keyword

Treatment adherence; Hemodialysis

MeSH Terms

Adult*
Compliance
Humans
Kidney Failure, Chronic
Life Style
Methods
Nursing
Renal Dialysis*
Self Care