TY - JOUR AU - Raashid, Sheharyar AU - Arshad, Abdul Rehman AU - Mir, Abdul Wahab PY - 2021/06/29 Y2 - 2024/03/28 TI - ADHERENCE TO MANAGEMENT IN PATIENTS WITH END STAGE RENAL DISEASE JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 71 IS - 3 SE - Original Articles DO - 10.51253/pafmj.v71i3.3082 UR - https://pafmj.org/PAFMJ/article/view/3082 SP - 805-09 AB - <p><strong>Objective:</strong> To document overall adherence to haemodialysis, medications, fluid restriction and dietary prescription in patients with end-stage renal disease and to study factors that could predict poor adherence.</p><p><strong>Study Design:</strong> Cross-sectional analytical study.</p><p><strong>Place and Duration of Study:</strong> Department of Nephrology, Pak Emirates Military Hospital, Rawalpindi, from Jul to Sep 2018.</p><p><strong>Methodology:</strong> Adult patients on haemodialysis for at least three months were selected using consecutive sampling technique. Patients with acute kidney injury, patients on haemodialysis for less than 3 months, those on infrequent haemodialysis and unwilling patients were excluded. Demographic data was recorded. Adherence to management was assessed by administering End Stage Renal Disease Adherence Questionnaire in direct face- to-face interviews.</p><p><strong>Results:</strong> There were a total of 101 patients having a mean age of 51.05 ± 13.80 years. Median haemodialysis vintage was 9 months (interquartile range 3-24 months). Mean adherence scores were 970.54 ± 149.43. Mean perception scores were 7.22 ± 1.37. Only 49 (48.51%) patients had good adherence, whereas 52 (51.49%) had poor adherence to management. Increasing age was associated with poor adherence (β=-0.038; Odds Ratio=0.963, 95% CI 0.928- 1.000, p=0.048). No other demographic parameter could predict poor adherence.</p><p><strong>Conclusion:</strong> Non-adherence to different aspects of management plan was a significant problem, more so in younger patients.</p> ER -