Skip to main content
SpringerLink
Log in

Disability is associated with nonadherence to diet and fluid restrictions in end-stage renal disease patients undergoing maintenance hemodialysis

  • Nephrology - Original article
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to evaluate nonadherence to diet and fluid restrictions and its relation with the level of disability in patients on chronic hemodialysis (CH).

Methods

The study design was a descriptive survey. The data were obtained from 186 patients in hemodialysis centers in Turkey. Descriptive statistics including mean scores, standard deviations and frequencies, and correlations analysis and logistic regression were conducted. Data were collected by using a personal information form, the Dialysis Diet and Fluid and Brief Disability Questionnaire.

Results

A great majority of hemodialysis patients showed nonadherence to diet and fluid restrictions. In total, 124 patients (66.7 %) reported mild to very severe nonadherence to diet, and 128 patients (68.8 %) reported mild to very severe nonadherence to fluid restrictions. Most of the patients with CH (69.9 %) experienced disability. The results of this study showed that nonadherence was more common among older age, females, low-educated patients and those with higher levels of disability.

Conclusions

The results of this study showed that the prevalence of nonadherence to diet and fluid restrictions was high in hemodialysis patients. The significant predictors for diet and fluid nonadherence were: older age, high interdialytic weight gain, and severe disability. Medical professionals must be aware of nonadherence and related factors and assist patients in developing strategies to prevent and respond to this.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cukor D, Cohen SD, Peterson R, Kimmel PL (2007) Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. J Am Soc Nephrol 18:3042–3045

    Article  PubMed  Google Scholar 

  2. Ikizler TA, Franch HA, Kalantar-Zadeh K, ter Wee PM, Wanner C (2014) Time to revisit the role of renal dietitian in the dialysis unit. J Ren Nutr 24:58–60

    Article  PubMed  Google Scholar 

  3. Moonaghi HK, Hasanzadeh F, Shamsoddini S, Emamimoghadam Z, Ebrahimzadeh SA (2012) A comparison of face to face and video-based education on attitude related to diet and fluids: adherence in hemodialysis patients. Iran J Nurs Midwifery Res 17(5):360–364

    PubMed Central  Google Scholar 

  4. Hansen R, Seifeldin R, Noe L (2007) Medication adherence of in chronic disease: issues in post transplant immunosuppression. Transpl Proc 39:1287–1300

    Article  CAS  Google Scholar 

  5. WHO (World Health Organization) (2011) World report on disability. WHO, Geneva

    Google Scholar 

  6. Albert SM, Bear-Lehman J, Anderson SJ (2015) Declines in mobility and changes in performance in the instrumental activities of daily living among mildly disabled community-dwelling older adults. J Gerontol A Biol Sci Med Sci 70:71–77

    Article  PubMed  Google Scholar 

  7. Hung IW, Ross JS, Boockvar KS, Siu AL (2011) Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr 11:47

    Article  PubMed Central  PubMed  Google Scholar 

  8. Castro SS, Cieza A, Cesar CL (2011) Problems with accessibility to health services by persons with disabilities in Sao Paulo. Disabil Rehabil, Brazil 33:1693–1698

    Article  Google Scholar 

  9. Allerton L, Emerson E (2012) British adults with chronic health conditions or impairments face significant barriers to accessing health services. Public Health 126:920–927

    Article  CAS  PubMed  Google Scholar 

  10. Ferrari CMM (2013) Cardoso de Sousa, Castro LHM: factors associated with treatment non-adherence in patients with epilepsy in Brazil. Seizure 22:384–389

    Article  PubMed  Google Scholar 

  11. Maciejewski ML, Bryson CL, Perkins M et al (2010) Increasing copyaments and adherence to diabetes, hypertension, and hyperlipidemic medications. Am J Manag Care 16(1):e20–e34

    PubMed  Google Scholar 

  12. Trendall J, Esmond G (2007) Fatigue in people with chronic obstructive pulmonary disease: development of an assessment tool. J Clin Nurs 16:116–122

    Article  PubMed  Google Scholar 

  13. Barnett T, Li Yoong T, Pinikahana J, Si-Yen T (2008) Fluid compliance among patients having haemodialysis: can an educational programme make a difference? J Adv Nurs 61(3):300–306

    Article  PubMed  Google Scholar 

  14. Ahrari S, Moshki M, Bahrami M (2014) The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. J Caring Sci 3:11–19

    PubMed Central  PubMed  Google Scholar 

  15. Takaki J, Nishi T, Shimoyama H, Inada T, Matsuyama N, Sasaki T et al (2003) Associations and interactions of age, sex, and duration of hemodialysis with compliance in uremic patients. Dial Transpl 32:12–16

    Google Scholar 

  16. Kutner NG (2001) Improving compliance in dialysis patients: does anything work? Semin Dial 14:324–327

    Article  CAS  PubMed  Google Scholar 

  17. Theofilou P (2012) Quality of life and mental health in hemodialysis and peritoneal dialysis patients: the role of health beliefs. Int Urol Nephrol 44(1):245–253

    Article  PubMed  Google Scholar 

  18. Kara B, Caglar K, Kilic S (2007) Nonadherence of with diet and fluids restrictions and peresived social support in patients receiving hemodialysis. J Nurs Scholarsh 39:243–248

    Article  PubMed  Google Scholar 

  19. Kaplan I (1995) Mental disorders and disability in a primary health care clinic in semi-rural area. Turk J. Psychol 6:169–179

    Google Scholar 

  20. Martin PD, McKnight T, Barbera B, Brantley PJ (2005) Satisfaction with the multidisciplinary treatment team: a predictor of hemodialysis patient compliance. Dial Tranplant 34:12–18

    Google Scholar 

  21. Claxton RN, Blackhall L, Weisbord SD, Holley JL (2010) Undertreatment of symptoms in patients on maintenance hemodialysis. J Pain Symptom Manage 39(2):211–218

    Article  PubMed  Google Scholar 

  22. Vlaminck H, Maes B, Jacobs A, Reyntjens S, Evers G (2001) The dialysis diet and fluid non-adherence questionnaire: validity testing of a self-report instrument for clinical practice. J Clin Nurs 10:707–715

    Article  CAS  PubMed  Google Scholar 

  23. Kalantar-Zadeh K, Tortorici AR, Chen JLT, Kamgar M, Lau WL, Moradi H, Rhee CM, Streja E, Kovesdy CP (2015) Dietary restrictions in dialysis patients: is there anything left to eat? Semin Dial 28:159–168

    Article  PubMed  Google Scholar 

  24. Khoueiry G, Waked A, Goldman M, El-Charabaty E, Dunne E, Smith M, Kleiner M, Lafferty J, Kalantar-Zadeh K, El-Sayegh S (2011) Dietary intake in hemodialysis patients does not reflect a heart healthy diet. J Ren Nutr 21:438–447

    Article  CAS  PubMed  Google Scholar 

  25. Durose CL, Holdsworth M, Watson V, Przygrodzka F (2004) Knowledge of dietary restrictions and the medical consequences of noncompliance by patients on hemodialysis are not predictive of dietary compliance. J Am Diet Assoc 104:35–41

    Article  PubMed  Google Scholar 

  26. Chung ML, Moser DK, Lennie TA, Worrall-Carter L, Bentley B, Trupp R, Armentano DS (2006) Gender differences in adherence to the sodium-restricted diet in patients with heart failure. J Card Fail 12(8):628–634

    Article  PubMed Central  PubMed  Google Scholar 

  27. Alavi NM, Aliakbarzadeh Z, Sharifi K (2009) Depression, anxiety, activities of daily living, and quality of life scores in patients undergoing renal replacement therapies. Transpl Proc 41:3693–3696

    Article  CAS  Google Scholar 

  28. Sagduyu A, Senturk V, Sezer S, Emiroglu R, Ozel S (2006) Psychiatric problems, quality of life, and compliance in patients treated with hemodialysis and renal transplantation. Turk J Psychiatry 17:1–10

    Google Scholar 

  29. Chan YM, Zalilah MS, Hii SZ (2012) Determinants of compliance behaviours among patients undergoing hemodialysis in Malaysia. PLoS One 7(8):e41362

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  30. Park KA, Choi KS, Sim YM, Kim SB (2008) Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. J Ren Nutr 18(5):415–423

    Article  PubMed  Google Scholar 

  31. Mollaoglu M (2011) Disability, activities of daily living and self efficacy in dialysis patients. TAF Prev Med Bull 10:181–186

    Article  Google Scholar 

  32. Song MK, Gilet CA, Lin FC, MacHardy N, DeVitoDabbs AJ, Fine JP, Stalberg KD, Fuller EI (2011) Characterizing daily life experience of patients on maintenance dialysis. Nephrol Dial Transplant 7:1–7

    CAS  Google Scholar 

  33. Kohl HW, Craig CL, Lambert EV (2012) The pandemic of physical inactivity: global action for public health. Lancet 380:294–305

    Article  PubMed  Google Scholar 

  34. Clark-Cutaia MN, Ren D, Hoffman LA, Burke LE, Sevick MA (2014) Adherence to hemodialysis dietary sodium recommendations: influence of patient characteristics, self-efficacy, and perceived barriers. J Ren Nutr 24:92–99

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  35. Saounatsou M (1999) Relation between response to illness and compliance in haemodialysis patients. EDTNA/ERCA J 25:32–34

    CAS  Google Scholar 

  36. Bağ E, Mollaoglu M (2010) The evaluation of self-care and self-efficacy. J Eval Clin Pract 16:605–610

    PubMed  Google Scholar 

  37. Levey AS, Andreoli SP, DuBose T, Provenzano R, Collins AJ (2007) Chronic kidney disease: common, harmful, and treatable world kidney day. J Am Soc Nephrol 27:108–112

    Article  Google Scholar 

  38. Welch JL (2006) Symptom management. In: MolazhnAE ButeraE (ed) Contemporary nephrology nursing: principles and practice. Am Nephrol Nurs Assoc, Pitman, pp 275–292

    Google Scholar 

  39. Lam LW, Twinn SF, Chan SWC (2010) Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis. J Adv Nurs 66:763–773

    Article  PubMed  Google Scholar 

  40. Callaghan DM (2003) Health-promoting self-care behaviors, selfcare -self-efficacy, and self-care agency. Nurs Sci Q 16:247–254

    Article  PubMed  Google Scholar 

  41. Iborra-Moltó C, López-Roig S, Pastor MA (2012) Prevalence of adherence to fluid restriction in kidney patients in haemodialysis: objective indicator and perceived compliance. Nefrologia 32(4):477–485

    PubMed  Google Scholar 

  42. Machek P, Jirka T, Moissl U, Chamney P, Wabel P (2010) Guided optimization of fluid status in haemodialysis patients. Nephrol Dial Transpl 25:538–544

    Article  Google Scholar 

Download references

Acknowledgments

We thank Dr. Ziynet Çınar, Department of Biostatistics, Cumhuriyet University, for her help in analyzing the data.

Author information

Authors and Affiliations

  1. Health Sciences Faculty, Cumhuriyet University, 58140, Sivas, Turkey

    Mukadder Mollaoğlu

  2. Nephrology Department, Medical School, Cumhuriyet University, 58140, Sivas, Turkey

    Mansur Kayataş

Authors
  1. Mukadder Mollaoğlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mansur Kayataş
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mukadder Mollaoğlu.

Ethics declarations

Conflicts of interest

The authors declare that they have no conflicts of interest related to the contents of this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mollaoğlu, M., Kayataş, M. Disability is associated with nonadherence to diet and fluid restrictions in end-stage renal disease patients undergoing maintenance hemodialysis. Int Urol Nephrol 47, 1863–1870 (2015). https://doi.org/10.1007/s11255-015-1102-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-015-1102-1

Keywords

Search

Navigation