Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 1
Evaluation of Hope, Symptom Control, and Medication Compliance/adherence In Hemodialysis Patients
Feride Taşkın Yılmaz1,Havva Sert2,Azime Karakoç Kumsar3,Dilek Aygin2,Savaş Sipahi4,Ahmet Bilal Genç4
1Sivas Cumhuriyet Üniversitesi Suşehri Sağlık Yüksekokulu, Sivas, Türkiye
2Sakarya Üniversitesi, Sağlık Bilimleri Fakültesi, Sakarya, Türkiye
3Biruni Üniversitesi, Sağlık Bilimleri Fakültesi, İstanbul, Türkiye
4Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi Nefroloji Kliniği, Sakarya, Türkiye
DOI : 10.31067/0.2019.197 Objectives: Hemodialysis patients may experience hopelessness since their disease is progressive, and requires restrictive treatment methods. This situation may make it difficult to control symptoms and medication compliance. The current study aimed to determine hope, symptom control and medication compliance in hemodialysis patients, and to investigate the associations between the level of hope, symptom control, and medication compliance.

Methods: The sample of this descriptive and correlational study consisted of 73 patients. Data were collected using the patient identification form, the Herth Hope Index, and the Dialysis Symptom Index in Chronic Hemodialysis Patients. Data were analyzed using percentiles, means, Pearson correlation, Mann-Whitney U test, and Kruskal-Wallis test.

Results: Mean Herth Hope Index score was above the average value, and the level of symptom-related distress was low. Among the patients, 83.6% attended routine follow-up visits on dates recommended by their doctors, 94.5% regularly used their medicine, 56.2% adhered to their diet for disease management, and 78.1% adhered to fluid restriction or monitored liquid intake. There was a negative correlation between the mean Herth Hope Index score and the mean Dialysis Symptom Index in Chronic Hemodialysis Patients score. It was found that patients who had high levels of hope had attended routine follow-up visits on the dates that were recommended by their doctors; ensured that caregivers performed routine controls such as blood analysis, blood pressure, etc.; and exhibited medication compliance (adherence to diet and liquid restriction for disease management) at better rates.

Conclusion: It was determined that symptom-related distress reduced, and medication compliance increased as the level of hope increased in hemodialysis patients. Keywords : Hemodialysis, symptoms, medication compliance, life expectancy