OBJECTIVE: The aim of this study was to assess adherence in people on hemodialysis and determine the factors of poor adherence. MATERIAL AND METHODS: This cross-sectional study took place throughout the month of September, 2012, in the hemodialysis center of the Sylvanus Olympio University Hospital, the only such center in Togo. RESULTS: The study included 65 patients, with a mean age of 49.5 years (range: 22 to 77 years), more often men (sex ratio: 1.82) and married (74 %). More than half (58%) had completed secondary education, while 73% belonged to the least advantaged socioeconomic class; 61 (94%) had health insurance, and 57% had been on dialysis for 1 to 4 years. The compliance rate was 11%. The main factors associated with good adherence were marital status (p = 0.0339) and the patient's general health status (p = 0.001). Treatment fatigue (p = 0.0347), forgetfulness (p = 0.0001), dosage forms and drug characteristics (p = 0.0198) were all factors of noncompliance. Therapeutic non-compliance was proportional to the number of drugs prescribed (p = 0.4263). CONCLUSION: Adherence in hemodialysis patients in Togo is very poor.
OBJECTIVE: The aim of this study was to assess adherence in people on hemodialysis and determine the factors of poor adherence. MATERIAL AND METHODS: This cross-sectional study took place throughout the month of September, 2012, in the hemodialysis center of the Sylvanus Olympio University Hospital, the only such center in Togo. RESULTS: The study included 65 patients, with a mean age of 49.5 years (range: 22 to 77 years), more often men (sex ratio: 1.82) and married (74 %). More than half (58%) had completed secondary education, while 73% belonged to the least advantaged socioeconomic class; 61 (94%) had health insurance, and 57% had been on dialysis for 1 to 4 years. The compliance rate was 11%. The main factors associated with good adherence were marital status (p = 0.0339) and the patient's general health status (p = 0.001). Treatment fatigue (p = 0.0347), forgetfulness (p = 0.0001), dosage forms and drug characteristics (p = 0.0198) were all factors of noncompliance. Therapeutic non-compliance was proportional to the number of drugs prescribed (p = 0.4263). CONCLUSION: Adherence in hemodialysis patients in Togo is very poor.
Authors: Karam Sh Naalweh; Mohammad A Barakat; Moutaz W Sweileh; Samah W Al-Jabi; Waleed M Sweileh; Sa'ed H Zyoud Journal: BMC Nephrol Date: 2017-05-30 Impact factor: 2.388