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Nonadherence With Diet and Fluid Restrictions Among Adults Having Hemodialysis
Author(s) -
Kugler Christiane,
Vlaminck Hans,
Haverich Axel,
Maes Bart
Publication year - 2005
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2005.00009.x
Subject(s) - medicine , hemodialysis , dialysis , fluid intake , psychological intervention , cross sectional study , intensive care medicine , nursing , pathology
Purpose:To describe the prevalence of nonadherence with the prescribed diet and fluid restrictions among patients receiving hemodialysis.Methods:A multicenter cross‐sectional design with 916 patients recruited from 18 dialysis centers in Germany and Belgium. The Dialysis Diet and Fluid Nonadherence Questionnaire (DDFQ) was used to measure patients' nonadherence.Findings:The results showed that many patients had difficulty following diet (81.4%) and fluid (74.6%) restrictions. Younger male patients and smokers were at highest risk for nonadherence. Higher levels of interdialysis weight gain were associated with nonadherence.Conclusions:The findings indicate the need to continue to monitor and study hemodialysis patients' adherence behavior longitudinally and to design interventions to enhance adherence.