Medication adherence perspectives in haemodialysis patients: a qualitative study

BMC Nephrology
Saurav GhimireSyed Tabish R Zaidi

Abstract

End-stage kidney disease patients undergoing haemodialysis are prescribed with multiple complex regimens and are predisposed to high risk of medication nonadherence. The aims of this study were to explore factors associated with medication adherence, and, to examine the differential perspectives on medication-taking behaviour shown by adherent and nonadherent haemodialysis patients. A qualitative exploratory design was used. One-on-one semi-structured interviews were conducted with 30 haemodialysis patients at the outpatient dialysis facility in Hobart, Australia. Patient self-reported adherence was measured using 4-item Morisky Green Levine scale. Interview transcripts were thematically analysed and mapped against the World Health Organization (WHO) determinants of medication adherence. Participants were 44-84 years old, and were prescribed with 4-19 medications daily. More than half of the participants were nonadherent to their medications based on self-reported measure (56.7%, n = 17). Themes mapped against WHO adherence model comprised of patient-related (knowledge, awareness, attitude, self-efficacy, action control, and facilitation); health system/ healthcare team related (quality of interaction, and mistrust and collater...Continue Reading

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Citations

Sep 8, 2018·Nursing & Health Sciences·Geldine Chironda, Busisiwe Rosemary Bhengu
Feb 23, 2020·International Journal of Clinical Practice·Shailendra Anoopkumar-DukieDavid Plummer
Aug 11, 2018·Clinical Kidney Journal·Trine Mechta NielsenThordis Thomsen
Feb 23, 2021·Scandinavian Journal of Caring Sciences·Roberta FrontiniDaniela Figueiredo
Mar 1, 2020·Research in Social & Administrative Pharmacy : RSAP·Inge R F van Berlo-van de LaarFrank G A Jansman
Apr 19, 2021·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·James TangAllison Tong

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