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BACKGROUND: Fluid overload is a common problem among haemodialysis patients. Haemodialysis patients with fluid overload are more likely to experience premature morbidity than other without fluid overload. Perception of patients have been studied to assess its effects on adherence to treatment regime, this study centers the perception of the haemodialysis patient and their respective adherence to the treatment regime.
OBJECTIVES: To assess the associations between socio-demographics, clinical characteristics, patient’s perception, perceived barriers and compliance behaviours towards the treatment regime and fluid overload.
METHODOLOGY: This was a cross-sectional study involving 107 subjects in Klang Valley, Malaysia. The sample size was calculated using convenience sampling and subjects were recruited mainly from NKF dialysis centers and IMU dialysis center. A set of questionnaire was adapted to assess the socio-demographics, perception, perceived barriers and compliance behaviours of the subjects. Medical information and clinical characteristics of the subjects were obtained from the medical records from the dialysis centers. The questionnaire was disseminated in interviews with the subjects.
RESULTS: Among the selected subjects 19.6% of them had fluid overload. The primary causes of kidney failure for the subjects were diabetes and hypertension. There was no significant association (P-values >0.05) between socio-demographics, clinical characteristics and perception of the patient and fluid overload. There was significant association (P-values <0.05) between perceived barriers and compliance behaviours towards treatment regime and fluid overload. Financial constraint was the perceived barrier that had significant association with fluid overload whereas “listening to the dietitian” and “regular self-weighing” was the compliance behaviours that had significant association with fluid overload. Majority of the subjects had good perception, few perceived barriers and good compliance behaviours towards the treatment regime.
CONCLUSION: Perceived barriers and compliance behaviours towards treatment regime were found to be significantly associated with fluid overload.