Korean J Adult Nurs.  2019 Jun;31(3):283-292. 10.7475/kjan.2019.31.3.283.

Predictors Influencing of Medication Adherence in Hemodialysis Patients

• Kim H
• Kim E

• KMID: 2450092
• DOI: http://doi.org/10.7475/kjan.2019.31.3.283

Abstract

PURPOSE
The aim of this study was to investigate factors affecting medication adherence in hemodialysis patients.
METHODS
A convenience sample of 140 patients receiving hemodialysis was selected. Data were collected from December. 1. 2016 to January. 15. 2017 using a self-reported questionnaires including the eight-item Morisky's Medication Adherence Scale Korean version (K-MMAS-8). The collected data were analyzed with a descriptive test, independent t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 23.0.
RESULTS
The patients showed a low level of medication adherence (M±SD=5.75±1.65). There were significant differences in medication adherence according to subjective health status (F=6.88, p=.001) and discomfort in taking medication (t=−4.59, p<.001). Expectation of medication (r=.42, p<.001) and disgust of medication (r=−.36, p<.001) were the significant factors related to medication adherence. It was explained by expectation of medication (β=.30, p<001), disgust of medication (β=−.21, p=.007), discomfort in taking medication (β=.20, p=.010) and subjective health status (β=−.18, p=.016).
CONCLUSION
It is necessary not only to regularly monitor patients' medication behavior but also develop and implement an individualized nursing intervention that reflects expectation and disgust of medication.

MeSH Terms

Diagnostic Self Evaluation
Humans
Kidney Failure, Chronic
Medication Adherence*
Nursing
Renal Dialysis*
Renal Insufficiency

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