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Determinants of Compliance Behaviours among Patients Undergoing Hemodialysis in Malaysia

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  • Yoke Mun Chan
  • Mohd Shariff Zalilah
  • Sing Ziunn Hii

Abstract

Background: Patients with end stage renal disease often fail to follow prescribed dietary and fluid regimen, leading to undesirable outcomes. This study aimed to examine and identify factors influencing dietary, fluid, medication and dialysis compliance behaviours in patients undergoing hemodialysis. Methods: This was a cross-sectional study which employed purposive sampling design. A total of 188 respondents were recruited from 14 dialysis centres in Malaysia between 2008–2011. Self-reported compliance behaviours and biochemical measurements were used as evaluation tools. Results: Compliance rates of dietary, fluid, medication and dialysis were 27.7%, 24.5%, 66.5% and 91.0%, respectively. Younger, male, working patients and those with longer duration on hemodialysis were found more likely to be non-compliant. Lacks of adequate knowledge, inadequate self-efficacy skills, forgetfulness and financial constraints were the major perceived barriers towards better compliance to fluid, dietary, medication and dialysis, respectively. Conclusions: Healthcare professionals should recognise the factors hindering compliance from the patients' perspective while assisting them with appropriate skills in making necessary changes possible.

Suggested Citation

  • Yoke Mun Chan & Mohd Shariff Zalilah & Sing Ziunn Hii, 2012. "Determinants of Compliance Behaviours among Patients Undergoing Hemodialysis in Malaysia," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-7, August.
    • Handle: RePEc:plo:pone00:0041362
    DOI: 10.1371/journal.pone.0041362
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    References listed on IDEAS

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    1. Bame, Sherry I. & Petersen, Nancy & Wray, Nelda P., 1993. "Variation in hemodialysis patient compliance according to demographic characteristics," Social Science & Medicine, Elsevier, vol. 37(8), pages 1035-1043, October.
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    Cited by:

    1. Eileen Suk Ying Ng & Poh Yoong Wong & Ahmad Teguh Hakiki Kamaruddin & Christopher Thiam Seong Lim & Yoke Mun Chan, 2020. "Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    2. Jun-Hao Lim & Karuthan Chinna & Pramod Khosla & Tilakavati Karupaiah & Zulfitri Azuan Mat Daud, 2020. "Understanding How Nutrition Literacy Links to Dietary Adherence in Patients Undergoing Maintenance Hemodialysis: A Theoretical Exploration using Partial Least Squares Structural Equation Modeling," IJERPH, MDPI, vol. 17(20), pages 1-21, October.

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