Adherence in Incident Haemodialysis Patients: Is Anxiety a Better Predictor Than Self-Efficacy?
Adherence in incident haemodialysis patients: Is anxiety a stronger predictor than self-efficacy?
Chen Ruyang, Maximillian (U082082N)
National University of Singapore
Abstract
Adherence is critical to the success of haemodialysis in the treatment of ESRD patients. Researchers have discovered that mortality rates are highest in patients’ first year of haemodialysis. This study aims to study adherence in incident haemodialysis patients. The author also examines the variables that may be related to adherence in incident patients such as self-efficacy, depression and anxiety. It was found that self-efficacy was not related to adherence in incident patients but predicted adherence in prevalent patients, suggesting that self-efficacy was not a good predictor of adherence in incident patients. The results also showed that anxiety was negatively correlated with adherence in both incident and prevalent patients. Anxiety showed stronger negative correlations with adherence in the incident group than the prevalent group, suggesting that anxiety was a stronger predictor of adherence in incident patients. Taken together, the results of this study provide precursory evidence that anxiety may be a better predictor of adherence in incident haemodialysis patients than self-efficacy. This idea runs in contrast to the general belief that self-efficacy is a strong predictor of adherence behaviours in most patient populations.
Keywords: haemodialysis, adherence, incident, prevalent, anxiety, self-efficacy.
Introduction End-stage renal disease (ESRD) is a complex chronic disease that will cause drastic changes, which inevitably reduce a patient’s quality of life (Finkelstein, Wuerth & Finkelstein, 2009). Haemodialysis, a renal replacement therapy (RRT) used to manage ESRD, depends upon two core processes: the removal of waste in the blood through dialysis and the restriction of nutrients and fluid (Denhaerynck et al, 2007). Patient adherence to the regimen is thus
Chen Ruyang, Maximillian (U082082N)
National University of Singapore
Abstract
Adherence is critical to the success of haemodialysis in the treatment of ESRD patients. Researchers have discovered that mortality rates are highest in patients’ first year of haemodialysis. This study aims to study adherence in incident haemodialysis patients. The author also examines the variables that may be related to adherence in incident patients such as self-efficacy, depression and anxiety. It was found that self-efficacy was not related to adherence in incident patients but predicted adherence in prevalent patients, suggesting that self-efficacy was not a good predictor of adherence in incident patients. The results also showed that anxiety was negatively correlated with adherence in both incident and prevalent patients. Anxiety showed stronger negative correlations with adherence in the incident group than the prevalent group, suggesting that anxiety was a stronger predictor of adherence in incident patients. Taken together, the results of this study provide precursory evidence that anxiety may be a better predictor of adherence in incident haemodialysis patients than self-efficacy. This idea runs in contrast to the general belief that self-efficacy is a strong predictor of adherence behaviours in most patient populations.
Keywords: haemodialysis, adherence, incident, prevalent, anxiety, self-efficacy.
Introduction End-stage renal disease (ESRD) is a complex chronic disease that will cause drastic changes, which inevitably reduce a patient’s quality of life (Finkelstein, Wuerth & Finkelstein, 2009). Haemodialysis, a renal replacement therapy (RRT) used to manage ESRD, depends upon two core processes: the removal of waste in the blood through dialysis and the restriction of nutrients and fluid (Denhaerynck et al, 2007). Patient adherence to the regimen is thus
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