Personal factors that affect adherence of fluid restriction in patient with hemodialysis

Background: Adherence to fluid restriction are a common problem and a major challenge for dialysis patients. The purpose of this study was to predict various patient personal factors which included changes in physical conditions (duration of dialysis, severity), psychological factors (stress, motivation), social factors (family support, peer support) and perceptions of adherence that affect dialysis patient’s adherence on fluid restriction. Method: A descriptive analytic with cross sectional approach was this research’s design. There were 135 respondents involved in this research. The inclusion criteria for patients with a minimum age of 18 years, receiving similar dialysis therapy for at least 3 months, in stable medical conditions, and not experiencing psychological problems. The variables include fluid restriction adherence and the patient’s personal factors which are physical factors (knowledge, length of dialysis, severity); psychological factors (stress, motivation); social factors (family support, peer support); and perceptions related to adherence. Data were analyze using logistic regression analysis. Findings: The results showed that the most influential variable on adherence to fluid restriction was the level of stress experienced by patients. Odds Ratio (OR) of stress variables was 11.4 which means that dialysis patients who experience stress will show adherence of fluid restriction 11.4 times lower than other dialysis patients after controlling for variables of age, education, knowledge, severity, motivation, family support, peer support and perception. Conclusion: psychological changes (stress) are the main predictors of fluid restriction compliance after being controlled by other variables.