| Title |
Psychosocial predictors of nonadherence to medical management among patients on maintenance dialysis
|
|---|---|
| Published in |
International Journal of Nephrology and Renovascular Disease, October 2016
|
| DOI | 10.2147/ijnrd.s121548 |
| Pubmed ID | |
| Authors |
Fahad Dakheel Alosaimi, Mohammed Asiri, Saleh Alsuwayt, Tariq Alotaibi, Mohammed Bin Mugren, Abdulmalik Almufarrih, Saad Almodameg |
| Abstract |
A number of reports suggest a link between depression and nonadherence to recommended management for end-stage renal disease (ESRD) patients on maintenance dialysis. However, the relationship between nonadherence and other psychosocial factors have been inadequately examined. To examine the prevalence of psychosocial factors including depression, anxiety, insecure attachment style, as well as cognitive impairment and their associations with adherence to recommended management of ESRD. A cross-sectional observational study was carried out from 2014 to 2015. Chronic dialysis patients were recruited conveniently from four major dialysis units in Riyadh, Saudi Arabia. Nonadherence was defined as decreased attendance in dialysis sessions, failure to take prescribed medications, and/or follow food/fluid restrictions and exercise recommendations. A total of 234 patients (147 males and 87 females) were included in this analysis, with 45 patients (19.2%) considered as nonadherent (visual analog scale < 8). Approximately 17.9% of the patients had depression (Patient Health Questionnaire score ≥10), 13.2% had anxiety (Hospital Anxiety and Depression scale-anxiety >7), while 77.4% had cognitive impairment (Montreal Cognitive Assessment score <26). Nonadherence was significantly associated with depression and anxiety (p<0.001 for both) but not cognitive impairment (p=0.266). The Experiences in Close Relationships - Modified 16 (ECR-M16) scale score was 27.99±10.87 for insecure anxiety and 21.71±9.06 for insecure avoidance relationship, with nonadherence significantly associated with anxiety (p=0.001) but not avoidance (p=0.400). Nonadherence to different aspects of ESRD continues to be a serious problem among dialysis patients, and it is closely linked to depression and anxiety. The findings from this study reemphasize the importance of early detection and management of psychosocial ailments in these patients. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Saudi Arabia | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 66 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 10 | 15% |
| Student > Master | 9 | 14% |
| Student > Ph. D. Student | 7 | 11% |
| Researcher | 6 | 9% |
| Other | 3 | 5% |
| Other | 9 | 14% |
| Unknown | 22 | 33% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 16 | 24% |
| Medicine and Dentistry | 12 | 18% |
| Psychology | 4 | 6% |
| Sports and Recreations | 3 | 5% |
| Social Sciences | 2 | 3% |
| Other | 3 | 5% |
| Unknown | 26 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 November 2016.
All research outputs
#20,103,978
of 25,576,275 outputs
Outputs from International Journal of Nephrology and Renovascular Disease
#179
of 260 outputs
Outputs of similar age
#244,957
of 333,154 outputs
Outputs of similar age from International Journal of Nephrology and Renovascular Disease
#9
of 9 outputs
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