Evaluation of the hemodialysis patients' self – efficacy, adherence and non-adherence to treatment and fluid-restriction

The purpose of this descriptive and cross-sectional study was to evaluate hemodialysis patients'adherence, non-adherence to the treatment,dietaryand fluid-restriction recommendations and self-efficacy. This study has been conducted at the Ümitköy, Çiğdem and Yenikent dialysis centers of Baskent University Ankara Hospital. The sample was included 400 individuals receiving dialysis treatment for at least 3 months,aged over 18 years old and volunteer to participatetothis study. In data collection, a questionnaire that was prepared based on the literature, Turkish version of Dialysis Diet and Fluid Non-Adherence Questionnaire and General Self-efficacy Scale were used. The data was obtained by the researcher via face to face interview. Data were analyzed with using descriptive statistics besides Chi-Square, t-test, ANOVA and Pearson Correlation tests. The mean age of the subjects was 56.74 ± 16.09, the patients were diagnoses for chronic renal failure 112.13 ± 93.98 months prior to dialysis; and they were having dialysis treatment for average 78.44 ± 69.98 months period. The average general self - efficacy scale grade was 30.62 ± 7.69 for the subjects who were enrolled to this study. Self-efficacy scores were higher in male, married, university graduates, who lives in city and higher income level groups (p<0.05). Age, gender, number of medication/tablets, having concomitant diseases and dialyses duration had an impact on medication adherence. More than half of the patients were reported non-adherence to diet ( %64.2) and fluid restriction (%60.0) in the previous 2 weeks. Patients who were single, living with family members and smokers reported higher level of non-adherence.