Demographic Factors Affecting Level of Adherence amongst Hemodialysis Patients in a Single Center of Taif, Saudi Arabia

Abstract

Background: Chronic kidney disease (CKD) is a typical and developing issue around the world; in the United States, >10% of adults displaying proof of damaged in kidney and/or decreased kidney work. Distinguishing CKD requires knowledge of individual hazard and proper laboratory testing. Hemodialysis is an essential life-protection strategy in patients with acute kidney injury (AKI) and chronic kidney illness. Between 25% of patients making dialyses using catheters in the first to start with which are invariably removed in patients with AK.According to the National Kidney Foundation and Kidney Disease Outcomes Quality Initiative.
 No adherence among patients undergoing HD include: failure or shorten the session
 Excessive intake of fluids and foods containing potassium and phosphorus and
 Non-adherence to medication treatment. Non-adherence to attendance at HD session, pre-scribed medications, fluid restrictions, and dietary intake range from 0% to 32.3%, 1.2% to 81%, 3.4% to 74%, and 1.2% to 82.4%, respectively.
Aim of the study: Study the degree of Medication Adherence on patients undergoing hemodialysis in Taif, Saudi Arabia. Identify if there is a correlation between different demographics (gender, socioeconomic level, level of education, age groups) and medication adherence in patients undergoing chronic hemodialysis. Method: cross sectional study has be conducted to patients in Haemodialysis Center of King Abdul-Aziz Specialist in Taif our total participants were 178 out of 213. Results: the age of these Only(37.6%)of the participated were more than 50 years, while(20.2%)were(50-60)the data ranged from(18 to 90)by mean +SD(51.694±15.662). level of adhere to medication our study shows the data ranging were ( 0-8) and Mean± SD (3.624±1.593) and the most of participants (48.0%) have 'weak' adhere to medication. Marital status there is a significant relation between Adhere to medication and marital status were f=2.606 and P-value=0.05. Conclusions: Levels of altered
adherence to hemodialysis among patient must be improved to prevent CKD, its progression, Saudi Arabia. Altered adherence to hemodialysis is still a big concern in Saudi Arabia affecting negatively ESRD patients' treatment outcomes thus causing a huge burden on health care institutions. Demographic factors affecting adherence to hemodialysis. Further research is required to identify barriers and promoters of adherence to hemodialysis in Saudi Arabia.