Adherence to treatment in patients with chronic kidney disease undergoing hemodialysis

Main Article Content

Angélica de Cássia Bitencourt
Sandra Marina dos Reis

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

How to Cite
1.
de Cássia Bitencourt A, Marina dos Reis S. Adherence to treatment in patients with chronic kidney disease undergoing hemodialysis. HSJ [Internet]. 2024 Mar. 27 [cited 2024 Nov. 29];14(1):e1480. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/hsjhci.v14.2024.e1480
Section
ORIGINAL ARTICLE

References

Salomão JO, Siqueira VS, Matos GX, Almada MORV. Nutricional condition and quality of life of chronic kidney patients. J Nurs UFPE online 2020;14:e242976. http://doi.org/10.5205/1981-8963.2020.242976. DOI: https://doi.org/10.5205/1981-8963.2020.242976

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. DOI: https://doi.org/10.5205/1981-8963.2021.246184

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. DOI: https://doi.org/10.17267/2238-2704rpf.v10i2.2834

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. DOI: https://doi.org/10.1590/2175-8239-jbn-2020-0161

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. DOI: https://doi.org/10.1590/2177-9465-ean-2020-0486

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. DOI: https://doi.org/10.1590/0034-7167-2016-0437

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. DOI: https://doi.org/10.12957/reuerj.2017.15504

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/

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

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. DOI: https://doi.org/10.1590/1982-0194201800009

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

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

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. DOI: https://doi.org/10.1590/2175-8239-jbn-2021-0198

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.

Santos MVB, Lira GG, Fernandes FECV. Medication adherence by the chronic renal patient on hemodialysis. J Nurs UFPE 2020;14:e243294.

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.

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. DOI: https://doi.org/10.1590/1414-462x202230019308

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. DOI: https://doi.org/10.1590/1980-549720200044

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

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. DOI: https://doi.org/10.12957/reuerj.2019.34084

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. DOI: https://doi.org/10.5205/1981-8963-v12i12a234669p3212-3220-2018

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. DOI: https://doi.org/10.1590/1982-0194201900037

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

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. DOI: https://doi.org/10.5935/0101-2800.20170077

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 DOI: https://doi.org/10.21680/2446-7286.2018v4n3ID17287

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. DOI: https://doi.org/10.1590/2175-8239-jbn-2019-0147

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. DOI: https://doi.org/10.3390/ijerph182412934

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. DOI: https://doi.org/10.1371/journal.pone.0276163