Research Article
Volume 3 Issue 3 - 2021
Animus Manendi: An Analysis of Factors Affecting Compliance with Dietary and Fluid Restrictions among Hemodialysis Patients in Selected Hospitals in Iligan City, Philippines
Jan Igor T Galinato*
College of Nursing, College of Law, Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines
*Corresponding Author: Jan Igor T Galinato, College of Nursing, College of Law, Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines.
Received: July 23, 2020; Published: February 08, 2021


According to National Kidney and Transplant Institute (NKTI) kidney diseases, End Stage Renal Disease (ESRD) is the 7th leading cause of death in the Philippines in 2014. The Department of Health (DOH) states that approximately 23,000 Filipinos underwent dialysis due to kidney failure in 2013, nearly four times higher than the 4,000 cases recorded in 2004 [1]. Compliance with fluid and dietary instructions is a critically significant factor in the health and well-being of hemodialysis patients [2]. Successful treatment of ESRD patients by hemodialysis requires the cooperation of the patient in sustaining a strict diet and restricting fluid [3]. It has been reported that 78% of the hemodialysis patients are non-compliant to their diet and fluid therapy because of the alteration in their long-standing personal habits and life style [3].

This study aims to analyze the factors affecting compliance with dietary and fluid restrictions among hemodialysis patients. This research, conducted from November 2017 to April 2018, used descriptive-correlational- comparative research design, purposive sampling method, and modified questionnaire based on End Stage Renal Disease Adherence Questionnaire (ESRD-AQ) to assess the compliance with dietary and fluid restrictions among 35 hemodialysis patients in Iligan City, Philippines: 15 from Gregorio T. Lluch Memorial Hospital (GTLMH) and 20 from Adventist Medical Center (AMC).

Using Pearson Correlational Coefficient, results revealed that while age (r: 0.134), gender (r: 0.13), and economic status (r: 0.036) have no significant relationship with the respondents’ compliance with dietary and fluid restrictions, marital status has a strong direct relationship (r: 0.20), educational attainment has a strong inverse relationship (r: -0.20) as well as length of hemodialysis treatment (-0.21). This indicates that respondents who are married have significantly greater level of compliance than single respondents; respondents with lesser educational attainment have greater level of compliance than those with higher educational attainment and respondents with longer length of hemodialysis treatment have greater level of compliance. This study’s marital status results are in consonance with the study by Tanno., et al. (2012) [4], which showed that unmarried status has been associated with an increased frequency of unhealthy lifestyle behaviors, depression, low socioeconomic status and non-adherence to medical treatment. On the other hand, this study’s educational attainment results are in consonance with the study by Green., et al. (2001) [5] which showed that limited health literacy is prevalent in patients receiving chronic hemodialysis and may be associated with adverse outcomes including mortality. Hence, the study elucidates that the respondents’ demographic profile, particularly marital status and educational attainment, makes a significant difference in the level of compliance with dietary and fluid requirements. This information could be integrated in planning care for hemodialysis patients, especially in enhancing the effectiveness of health teachings to unmarried and otherwise highly educated clients.

Keywords:End Stage Renal Disease; Hemodialysis; Demographic Profile, Fluid and Dietary Compliance; Philippines


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Citation: Jan Igor T Galinato. “Animus Manendi: An Analysis of Factors Affecting Compliance with Dietary and Fluid Restrictions among Hemodialysis Patients in Selected Hospitals in Iligan City, Philippines”. EC Nursing and Healthcare 3.3 (2021): 39-46.

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