1. Non-adherence to hemodialysis, perception of the illness, and severity of advanced nephropathy
- Author
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Mário de Seixas Rocha, Constança Margarida Sampaio Cruz, and Lianna Gonçalves Dantas
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,030232 urology & nephrology ,Disease ,Spearman's rank correlation coefficient ,Nephropathy ,End stage renal disease ,Correlation ,03 medical and health sciences ,0302 clinical medicine ,Renal Dialysis ,Internal medicine ,medicine ,Humans ,Cooperação e Adesão ao Tratamento ,030212 general & internal medicine ,Renal Insufficiency, Chronic ,business.industry ,General Medicine ,medicine.disease ,Diseases of the genitourinary system. Urology ,Cross-Sectional Studies ,Falência Renal Crônica ,Kidney Failure, Chronic ,Ajustamento emocional ,Female ,Perception ,Original Article ,RC870-923 ,Hemodialysis ,Índice de Gravidade de Doença ,medicine.symptom ,business ,Weight gain ,Diálise ,Kidney disease - Abstract
Introduction: Hemodialysis (HD) is a complex therapy that imposes several changes in the patient's life. Failure to follow therapy recommendations is called non-adherence (NA). The patient's illness perception, severity of chronic kidney disease, and individual strategies for coping with HD can have an impact on NA to the demands of therapy. Methods: This was a cross-sectional study with end-stage renal disease patients on conventional HD in Salvador, Bahia. We evaluated attendance to treatment and interdialytic weight gain (IDWG) as parameters of NA to HD, and investigated its association with clinical aspects and measures of disease perception (illness effects questionnaire - IEQ) and severity of nephropathy (end stage renal disease severity index - ESRD-SI), by analyzing Pearson or Spearman correlation. Results: 79 patients were evaluated, 57% male, aged 53.1 ± 12.3 years, with length of HD of 108 (89 - 131.5) months. Age correlated with ESRD-SI (r = 0.43) and NA parameters: negative correlation with relative IDWG (r = -0.41) and reduction in sessions (r = -0.31) and positive correlation with %HD performed (r = 0.25). The scores on the IEQ and ESRD-SI showed a positive correlation (r = 0.44; p
- Published
- 2020