دورية أكاديمية
Non-adherence, medication beliefs and symptom burden among patients receiving hemodialysis -a cross-sectional study
| العنوان: | Non-adherence, medication beliefs and symptom burden among patients receiving hemodialysis -a cross-sectional study |
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| المؤلفون: | Mechta Nielsen, Trine, Marott, Trine, Hornum, Mads, Feldt-Rasmussen, Bo, Kallemose, Thomas, Thomsen, Thordis |
| المصدر: | Mechta Nielsen , T , Marott , T , Hornum , M , Feldt-Rasmussen , B , Kallemose , T & Thomsen , T 2023 , ' Non-adherence, medication beliefs and symptom burden among patients receiving hemodialysis -a cross-sectional study ' , BMC Nephrology , vol. 24 , no. 1 , 321 . https://doi.org/10.1186/s12882-023-03371-3Test |
| سنة النشر: | 2023 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | Beliefs about medication, Cross-sectional study, Hemodialysis, Medication adherence, Symptom management |
| الوصف: | Background Non-adherence to medication is a common and complex issue faced by individuals undergoing hemodialysis (HD). However, more knowledge is needed about modifiable factors influence on non-adherence. This study investigated the prevalence of non-adherence, medication beliefs and symptom burden and severity among patients receiving HD in Denmark. Associations between non-adherence, medications beliefs and symptom burden and severity were also explored. Method A cross-sectional questionnaire-based multisite study, including 385 participants. We involved patient research consultants in the study design process and the following instruments were included: Medication Adherence Report Scale, Beliefs about Medication Questionnaire and Dialysis Symptom Index. Logistic regression analysis was performed. Results The prevalence of non-adherence was 32% (95% CI 27–37%) using a 23-point-cut-off. Just over one third reported being concerned about medication One third also believed physicians to overprescribe medication, which was associated with 18% increased odds of non-adherence. Symptom burden and severity were high, with the most common symptoms being tiredness/ lack of energy, itching, dry mouth, trouble sleeping and difficulties concentrating. A high symptom burden and/or symptom severity score was associated with an increased odd of non-adherence. Conclusion The study found significant associations between non-adherence and, beliefs about overuse, symptom burden and symptom severity. Our results suggest health care professionals (HCP) should prioritize discussion about medication adherence with patients with focus on addressing patient-HCP relationship, and patients’ symptom experience. Future research is recommended to explore the effects of systematically using validated adherence measures in clinical practice on medication adherence, patient-HCP communication and trust. Additionally, studies are warranted to further investigate the relationship between symptom experience and adherence in this population. ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1186/s12882-023-03371-3 |
| الإتاحة: | https://doi.org/10.1186/s12882-023-03371-3Test https://curis.ku.dk/portal/da/publications/nonadherence-medication-beliefs-and-symptom-burden-among-patients-receiving-hemodialysis-a-crosssectional-studyTest(5a129034-f3dd-4820-887c-89796c5cc092).html https://curis.ku.dk/ws/files/373879087/s12882_023_03371_3.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.5B5A9FA5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12882-023-03371-3 |
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