Perspect Nurs Sci.  2015 Apr;12(1):60-70. 10.16952/pns.2015.12.1.60.

Factors Influencing Medication Adherence in Hemodialysis Patients: Focusing on Primary and Secondary Medical Care

• Seo YH
• Lim SO
• Hyeon EH
• Kim HW
• Eom MR

• KMID: 2315712
• DOI: http://doi.org/10.16952/pns.2015.12.1.60

Abstract

PURPOSE
The purpose of this study was to identify the factors influencing medication adherence in hemodialysis patients among primary medical care and secondary medical care.
METHODS
A cross-sectional survey design was utilized. Data were collected using questionnaires from 280 hemodialysis patients who had taken prescribed medication regularly as a result of chronic renal failure at primary and secondary medical care in Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
RESULTS
There were statistically significant differences in medication adherence according to living area (p=.002), health condition (p<.001), amount of medication (p=.004), inconvenience for taking medication (p<.001), and depression level (p=.001). The mean of medication adherence was 3.72 points. Medication adherence was explained by perceived barrier related to medication taking (beta=.338), attitude (beta=.250), and depression (beta=.132).
CONCLUSION
This study strongly recommended that nursing intervention program to improve medication adherence should be developed and a match control study in improvement of medication adherence for hemodialysis patients needs to be done.

Keyword

Renal dialysis; Medication Adherence

MeSH Terms

Cross-Sectional Studies
Depression
Humans
Kidney Failure, Chronic
Korea
Medication Adherence*
Nursing
Surveys and Questionnaires
Renal Dialysis*