Adherence to treatment in patients with chronic kidney disease undergoing hemodialysis
Article Sidebar
Main Article Content
Abstract
Objective: To identify the adherence to therapeutic regimens in patients with chronic kidney disease undergoing hemodialysis (HD). Method: This is a descriptive, cross-sectional study using a quantitative approach developed at an HD center in the south of Minas Gerais, Brazil. The study participants were 51 patients undergoing HD. Personal, socioeconomic, and objective data were collected, and the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) was applied. The analysis was performed using simple descriptive statistics. Result: The average age was 56.7 years, and 58% of the patients were male. The percentages of non-adherence were diet (35.4%), hemodialysis (21.6%), fluid intake (15.7%), and medication (13.7%). Conclusion: Therapeutic adherence is a complex process that requires constant monitoring by a multidisciplinary team.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors maintain copyright and grant the Health Sciences Journal the right to first publication. From 2024, the publications wiil be licensed under Attribution 4.0 International 
, allowing their sharing, recognizing the authorship and initial publication in this journal.
Authors are authorized to assume additional contracts separately for the non-exclusive distribution of the version of the work published in this journal (e.g., publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are encouraged to publish and distribute their work online (e.g., in institutional repositories or on their personal page) at any point after the editorial process.
Also, the AUTHOR is informed and consents that the Health Sciences Journal can incorporate his article into existing or future scientific databases and indexers, under the conditions defined by the latter at all times, which will involve, at least, the possibility that the holders of these databases can perform the following actions on the article.
References
2. Barbosa JLCSN, Mendes RCMG, Lira MN, Barros MBSC, Serrano SQ. Quality of life of chronic kidney patients submitted to hemodialysis. J Nurs UFPE online 2021;15:e246184. http://doi.org/10.5205/1981-8963.2021.246184.
3. Marinho DF, Melo RDC, Sousa KEP, Oliveira FA, Vieira JNS, Antunes CSP, et al. Capacidade funcional e qualidade de vida na doença renal crônica. Rev Pesqui Fisioter 2020;10(2):212-19. http://doi.org/10.17267/2238-2704rpf.v10i2.2834.
4. Neves PDMM, Sesso RCC, Thomé FS, Lugon JR, Nascimento MM. Brazilian dialysis survey 2019. J Bras Nefrol 2021;43(2):217- 27. http://doi.org/10.1590/2175-8239-jbn-2020-0161. PMid:33513218.
5. Leone DRR, Pereira GA, Silva ACP, Aguiar AS. Level of activation and quality of life related to the health of people in hemodialysis. Esc Anna Nery 2021;25(4):e20200486. http://doi.org/10.1590/2177-9465-ean-2020-0486.
6. Lins SMSB, Leite JL, Godoy S, Fuly PSC, Araújo STC, Silva IR. Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis. Rev Bras Enferm 2017;70(3):558-65. http://doi.org/10.1590/0034-7167-2016-0437. PMid:28562804.
7. Ferraz RN, Maciel CG, Borba AKOT, Frazão IS, França VV. Health personnel’s perceptions of factors influencing hemodialysis treatment adherence. Rev Enferm UERJ 2017;25:e15504. http://doi.org/10.12957/reuerj.2017.15504.
8. Hospital de Clínicas de Itajubá. Hemodiálise e nefrologia [Internet]. HCI; 2023 [cited 2023 Sep 8]. Available from: https://hcitajuba.org.br/servicos/hemodialise-e-nefrologia/
9. Lins SMSB. Adaptação cultural e validação do questionário de avaliação sobre a adesão do portador de doença renal crônica em hemodiálise: uma contribuição para a gerência do cuidado de enfermagem [Internet]. Rio de Janeiro: UFRJ: Escola de Enfermagem Anna Nery; 2015. [cited 2023 Sep 8]. Available from: http://objdig.ufrj.br/51/teses/838330.pdf
10. Lins SM, Leite JL, Godoy S, Tavares JM, Rocha RG, Silva FV. Treatment adherence of chronic kidney disease patients on hemodialysis. Acta Paul Enferm 2018;31(1):54-60. http://doi.org/10.1590/1982-0194201800009.
11. Brasil. Ministério da Saúde. Resolução n. 466 de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. 2012 [cited 2023 Sep 8]. Available from: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
12. Brasil. Lei nº 13.709, de 14 de agosto de 2018. Lei Geral de Proteção de Dados Pessoais (LGPD) [Internet]. 2018 [cited 2023 Sep 8]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13709.htm
13. Nerbass FB, Lima HN, Thomé FS, Vieira OMV No, Lugon JR, Sesso R. Censo Brasileiro de Diálise 2020. J Bras Nefrol 2022;44(3):349-57. http://doi.org/10.1590/2175-8239-jbn-2021-0198. PMid:35212702.
14. Oliveira DPS, Lopes MLH, Silva GAS, Sousa SMAS, Dias RSD, Medeiros e Silva LV. Socioeconomic and clinical profile of patients in hemodialytic program. J Nurs UFPE 2017;11:4607-16.
15. Santos MVB, Lira GG, Fernandes FECV. Medication adherence by the chronic renal patient on hemodialysis. J Nurs UFPE 2020;14:e243294.
16. Oliveira e Oliveira BR, Coutinho ALN, Lopes JM, Tenório APO, Tenório PP. Adhesion of patients with chronic kidney disease to hemodialysis. J Nurs UFPE 2021;15:e247856.
17. Bialeski AB, Lopes CM, Iser BPM. Fatores relacionados aos desfechos clínicos e ao tempo de sobrevida em doentes renais crônicos em hemodiálise. Cad Saude Colet 2022;30(1):115-26. http://doi.org/10.1590/1414-462x202230019308.
18. Aguiar LK, Prado RR, Gazzinelli A, Malta DC. Factors associated with chronic kidney disease: epidemiological survey of the National Health Survey. Rev Bras Epidemiol 2020;23:e200044. http://doi.org/10.1590/1980-549720200044. PMid:32520099.
19. IBGE: Instituto Brasileiro de Geografia e Estatística. Brasil/ Minas Gerais/ Itajubá [Internet]. Rio de Janeiro: IBGE; 2010 [cited 2023 Sep 8]. Available from: https://cidades.ibge.gov.br/brasil/mg/itajuba/pesquisa/23/22107
20. Barbosa SMCÓMF, Bezerra JNM, Borba AKOT. Health self-assessment by individuals with chronic kidney disease in dialysis therapy. Rev Enferm UERJ 2019;27:e34084. http://doi.org/10.12957/reuerj.2019.34084.
21. Piccin C, Girardon-Perlini NMO, Coppetti LC, Cruz TH, Beuter M, Burg G. Sociodemographic and clinical profile of chronic kidney patients in hemodialysis. J Nurs UFPE 2018;12(12):3212-20. http://doi.org/10.5205/1981-8963-v12i12a234669p3212-3220-2018.
22. Pereira CV, Leite ICG. Health-related quality of life of patients receiving hemodialysis therapy. Acta Paul Enferm 2019;32(3):267- 74. http://doi.org/10.1590/1982-0194201900037.
23. Marques BM, Silva DM, Roseira CE, Orlandi FS, Figueiredo RM. Análise de indicadores de qualidade e características clínicas em uma unidade de terapia renal substitutiva. Cuid Enferm [Internet]. 2019 [cited 2023 Sep 8];13(2):99-105. Available from: http://www.webfipa.net/facfipa/ner/sumarios/cuidarte/2019v2/99.pdf
24. Mendes ML, Alves CA, Bucuvic EM, Dias DBPD, Ponce D. Peritoneal dialysis as the first dialysis treatment option initially unplanned. J Bras Nefrol 2017;39(4):441-6. http://doi.org/10.5935/0101-2800.20170077. PMid:29319771.
25. Ramos FLS, Salazar VMS, Santos W, Mota LM. Qualidade de vida de pacientes que retornam a hemodiálise após serem submetidos a um transplante renal. Rev Ciênc Plur [Internet]. 2018 [cited 2023 Sep 8];4(3):17-30. Available from: https://periodicos.ufrn.br/rcp/article/view/17287/11359
26. Dantas LG, Rocha MS, Cruz CMS. Non-adherence to hemodialysis, perception of the illness, and severity of advanced nephropathy. J Bras Nefrol 2020;42(4):413-9. http://doi.org/10.1590/2175-8239-jbn-2019-0147. PMid:32779688.
27. Kim H, Cho MK. Factors influencing self-care behavior and treatment adherence in hemodialysis patients. Int J Environ Res Public Health 2021;18(24):12934. http://doi.org/10.3390/ijerph182412934. PMid:34948543.
28. Sousa H, Ribeiro O, Costa E, Christensen AJ, Figueiredo D. Establishing the criterion validity of self-report measures of adherence in hemodialysis through associations with clinical biomarkers: a systematic review and meta-analysis. PLoS One 2022;17(10):e0276163. http://doi.org/10.1371/journal.pone.0276163. PMid:36256660.