FACTORS AFFECTING ADHERENCE TO THE TREATMENT IN PATIENTS UNDER HEMODIALYSIS: A QUALITATIVE CONTENT ANALYSIS

One of the common problems in patients undergoing hemodialysis is Poor
adherence. Several factors affect the adherence of patients, which should be investigated in the cultural
and social context of patients. Thus this research was undertaken to study the adherence of such patients
Materials & Methods: This qualitative research was conducted from June to November 2018 to
investigate the view points of the patients, their families and health care providers about Adherence to
the treatment in Patients Under hemodialysis. At first, the sampling was based on a purposeful sampling
method. A total of 29 participants (patients, their families and health care providers) were interviewed.
The interviews were analyzed via Graneheim & Lundman qualitative content analysis.
Results: Data analyses led to the production of 600 primary codes, 64 subcategories and 13 secondary
categories, and finally 4 main categories of patient-related factors, socioeconomic factors, treatment-
related factors, and related factors with the members of the health team appeared.
Conclusion: Considering factors such as socio-economic support, promotion of adaptability and self-
care and improving the psychological state of patients can affect their compliance with the hemodialysis
regimen. In this regard, members of the health team can play a significant role in adherence to the regime
by communicating with patients and gaining their trust.