Main Article Content

Abstract

Introduction: Inadequate adherence to pharmacological treatment and hemodialysis sessions leads to complications for patients with chronic kidney disease.
Objective: To analyze the factors associated with adherence to hemodialysis and pharmacological treatment.
Material and Method: This non-experimental, cross-sectional, correlational, and observational study was conducted following approval from the Ethics Committee. The population consisted of 90 patients, from which a sample of 71 was obtained. Information was collected through a questionnaire consisting of the Batalla and MMAS-8 tests. Statistical analysis was performed using Microsoft Excel 2016 and the Statistical Package for the Social Sciences 25.
Resultados: 49.30% of patients showed adherence to hemodialysis sessions. However, 94.37% displayed a lack of adherence to pharmacological treatment. Factors associated with adherence to the sessions included age, knowledge about the disease, duration of hemodialysis, number of comorbidities, and number of medications. Factors associated with adherence to pharmacological treatment were knowledge about chronic kidney disease and the number of comorbidities.
Conclusions: There is a higher probability of attending hemodialysis sessions when the patient is older, knows about the disease, and has been undergoing dialysis treatment for more than five years. There is a higher likelihood of low pharmacological adherence when the patient has three or more comorbidities. Implementing educational intervention programs is recommended, along with considering strategies such as booklets or mobile phone alarms for medication intake and attendance at hemodialysis.

Keywords

Compliance and Adherence to Treatment Associated factors Chronic Renal Insufficiency

Article Details

How to Cite
1.
Carrillo-Ucañay MDR, Rodriguez-Cruz LD, Diaz-Manchay RJ, Cervera-Vallejos MF, Constantino-Facundo F. Factors associated with adherence to hemodialysis and pharmacologic treatment in Peru. Enferm Nefrol [Internet]. 2024 [cited 2025 Apr 30];27(1):[about 8 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4710

References

  1. Li P, García G, Siu L, Andreoli S, Fung W, Hradsky A, et al. Salud renal para todos en todas partes. Desde la prevención hasta la detección y al acceso equitativo a la atención. Rev Nefrol Dial Traspl [Internet]. 2020 [consultado 10 Ene 2024];40(1):1-13. Disponible en: https://www.revistarenal.org.ar/index.php/rndt/article/view/502
  2. Ministerio de Salud del Perú. Análisis de la situación de la enfermedad renal crónica en el Perú, 2015. [Internet]. 2015 [consultado 10 Ene 2024]. Disponible en: https://bit.ly/38VxY6x
  3. Ghimire S, Castelino R, Lioufas N, Peterson G, Zaidi S. Nonadherence to Medication Therapy in Haemodialysis Patients: A Systematic Review. PLoS ONE [Internet]. 2015 [consultado 10 Ene 2024];10(12):e0144119. Disponible en: https://doi.org/10.1371/journal.pone.0144119 DOI: https://doi.org/10.1371/journal.pone.0144119
  4. Naalweh KS, Barakat MA, Sweileh MW, Al-Jabi SW, Sweileh WM, Zyoud SH. Treatment adherence and perception in patients on maintenance hemodialysis: a cross-sectional study from Palestine. BMC Nephrol [Internet]. 2017 [consultado 10 Ene 2024];18:178. Disponible en: https://doi.org/10.1186/s12882-017-0598-2 DOI: https://doi.org/10.1186/s12882-017-0598-2
  5. Sultan B, Fouad A, Zaki H. Adherence to hemodialysis and medical regimens among patients with end-stage renal disease during COVID-19 pandemic: a cross-sectional study. BMC Nephrol [Internet]. 2022 [consultado 10 Ene 2024];23:138. Disponible en: https://doi.org/10.1186/s12882-022-02756-0 DOI: https://doi.org/10.1186/s12882-022-02756-0
  6. Barros K, Renz C, Uhdich K, Campos F, Calegaro M, Fernandes E, et al. Adherence to drug treatments in patients with chronic kidney disease on hemodialysis. O Mundo da Saúde [Internet]. 201 [consultado 10 Ene 2024];43(4):800-13. Disponible en: https://bvsms.saude.gov.br/bvs/periodicos/mundo_saude_artigos/adherence_chronic_hemodialysis.PDF DOI: https://doi.org/10.15343/0104-7809.20194304800813
  7. Herrera P, Palacios M, Mezones E, Hernández A, Chipayo D. Baja adherencia al régimen de hemodiálisis en pacientes con enfermedad crónica renal en un hospital de referencia del Ministerio de Salud en Perú. An Fac Med [Internet]. 2014 [consultado 10 Ene 2024]; 75(4):323-6. Disponible en: https://doi.org/10.15381/anales.v75i4.10848 DOI: https://doi.org/10.15381/anales.v75i4.10848
  8. North American Nursing Diagnosis Association (NANDA). Diagnósticos Enfermeros: Definiciones y Clasificación 2018-2020. 11.a ed. Artmed; 2018. p 187.
  9. Ojeda M, Caro I, Ojeda D, García A, García S, García S. Consulta de enfermería y adherencia terapéutica del paciente en hemodiálisis. Enferm Nefrol [Internet]. 2017 [consultado 10 Ene 2024];20(2):132-8. Disponible en: https://doi.org/10.4321/S2254-288420170000200006 DOI: https://doi.org/10.4321/S2254-288420170000200006
  10. Hernández R. Metodología de la investigación. Mexico: McGrawHill; 2018. p 634. DOI: https://doi.org/10.17993/CcyLl.2018.15
  11. Instituto Nacional de Estadística e Informática. Manual de la Entrevistadora-ENDES 2018 [Internet]. 2023 [consultado 10 Ene 2024]. Disponible en: https://bit.ly/3zk0DfY
  12. Batalla C, Laguarta A, Ciurana R, Garcia M, Jordi E, Pérez A, et al. Cumplimiento de la prescripción farmacológica en pacientes hipertensos. Atención Primaria [Internet]. 1984 [consultado 10 Ene 2024];1(4):185-91. Disponible en: http://www.ub.edu/farmaciaclinica/projectes/webquest/WQ2/docs/batalla.pdf
  13. Chaves NM, Echeverri JE, Ballesteros DA, Quijano J, Camacho D. Validación de la escala de Morisky de 8 ítems en pacientes con enfermedad renal crónica. Rev Med [Internet]. 2016 [consultado 10 Ene 2024];24(2):23-32. Disponible en: http://www.scielo.org.co/pdf/med/v24n2/v24n2a03.pdf DOI: https://doi.org/10.18359/rmed.2627
  14. Insua JT. Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud. Pers y Bioética [Internet]. 2018 [consultado 10 Ene 2024];22(2):223-46. Disponible en: https://doi.org/10.5294/pebi.2018.22.2.3 DOI: https://doi.org/10.5294/pebi.2018.22.2.3
  15. Alkatheri AM, Alyousif SM, Alshabanah N, Albekairy A, Alharbi S, Alhejaili F, et al. Medication Adherence among Adult Patients on Hemodialysis. Saudi J Kidney Dis Transplant [Internet]. 2014 [consultado 10 Ene 2024];25(4):762-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24969185/. DOI: https://doi.org/10.4103/1319-2442.134990
  16. Cedillo-Couvert EA, Ricardo AC, Chen J, Cohan J, Fischer MJ, Krousel-Wood M, et al. Self-reported Medication Adherence and CKD Progression. Kidney Int Reports [Internet]. 2018 [consultado 10 Ene 2024];3(3):645-51. Disponible en: https://doi.org/10.1016/j.ekir.2018.01.007 DOI: https://doi.org/10.1016/j.ekir.2018.01.007
  17. Gottlieb E, Tessey A, Tanús R, Hecker S, Fernández J. Saltear una o más sesiones de diálisis aumenta significativamente la tasa de mortalidad: impacto de medir la no adherencia. Rev Nefrol Dial y Traspl [Internet]. 2014 [consultado 10 Ene 2024];34(2):62-70. Disponible en: https://www.redalyc.org/pdf/5642/564261711008.pdf
  18. Nakao RT, Gorayeb R, Da Costa JAC. Factors associated with treatment adherence of Brazilian patients undergoing hemodialysis. Actual en Psicol [Internet]. 2016 [consultado 10 Ene 2024];30(121):77. Disponible en: https://doi.org/10.15517/ap.v30i121.23289 DOI: https://doi.org/10.15517/ap.v30i121.23289
  19. Suganthi S, Porkodi A, Geetha P. Assess the illness perception and treatment adherence among patients with end-stage renal disease. Iran J Nurs Midwifery Res [Internet]. 2020 [consultado 10 Ene 2024];25(1):12. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles DOI: https://doi.org/10.4103/ijnmr.IJNMR_74_19
  20. /PMC6952918/.
  21. Agustina F, Yetti K, Sukmarini L. Contributing factors to hemodialysis adherence in Aceh, Indonesia. Enfermería Clínica [Internet]. 2019 [consultado 10 Ene 2024];29:238-42. https://doi.org/10.1016/j.enfcli.2019.04.028 DOI: https://doi.org/10.1016/j.enfcli.2019.04.028
  22. Van Den Bemt BJF, Zwikker HE, Van Den Ende CHM. Medication adherence in patients with rheumatoid arthritis: a critical appraisal of the existing literature. Expert Rev Clin Immunol [Internet]. 2014 [consultado 10 Ene 2024];8(4):337-51. Disponible en: https://doi.org/10.1586/eci.12.23 DOI: https://doi.org/10.1586/eci.12.23
  23. Obialo CI, Bashir K, Goring S, Robinson B, Quarshie A, Al-Mahmoud A, et al. Dialysis «no-shows» on Saturdays: Implications of the weekly hemodialysis schedules on nonadherence and outcomes. J Natl Med Assoc [Internet]. 2008 [consultado 10 Ene 2024];100(4):412-9. Disponible en: http://dx.doi.org/10.1016/S0027-9684(15)31274-8 DOI: https://doi.org/10.1016/S0027-9684(15)31274-8
  24. Parker K, Bull-Engelstad I, Aasebo W, Von N, Reier-Nilsen M, Os I, et al. Medication regimen complexity and medication adherence in elderly patients with chronic kidney disease. Hemodial Int [Internet]. 2019 [consultado 10 Ene 2024];23(3):333-42. Disponible en: https://doi.org/10.1111/hdi.12739 DOI: https://doi.org/10.1111/hdi.12739
  25. Ozen N, Cinar FI, Askin D, Mut D, Turker T. Nonadherence in Hemodialysis Patients and Related Factors: A Multicenter Study. J Nurs Res [Internet]. 2019 [consultado 10 Ene 2024];27(4):36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30720548/ DOI: https://doi.org/10.1097/jnr.0000000000000309
  26. Ghimire S, Peterson GM, Castelino RL, Jose MD, Zaidi STR. Medication Regimen Complexity and Adherence in Haemodialysis Patients: An Exploratory Study. Am J Nephrol [Internet]. 2016 [consultado 10 Ene 2024];43(5):318-24. Disponible en: https://doi.org/10.1159/000446450 DOI: https://doi.org/10.1159/000446450
  27. Villegas J, Martínez L, Rodríguez M, Vera S, Roldán M, Hernández A, et al. Evaluation of therapeutic adherence in patients with renal replacement therapy. Med Interna Mex [Internet]. 2020 [consultado 10 Ene 2024];36(3):292-300. Disponible en: https://www.medigraphic.com/pdfs/medintmex/mim-2020/mim203d.pdf
  28. Gobierno del Perú. Insuficiencia renal crónica: en el Perú 70% de diálisis se realizan en pacientes con hipertensión y diabetes [Internet]. 2022 [consultado 10 Ene 2024]. Disponible en: https://www.gob.pe/institucion/hospital
  29. loayza/noticias/589210-insuficiencia-renal-cronica-en-el-peru-70-de-dialisis-se-realizan-en-pacientes-con-hipertension-y-diabetes

Most read articles by the same author(s)

Similar Articles

<< < 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 > >> 

You may also start an advanced similarity search for this article.