Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/30281
Title: PSYCHOSOCIAL DETERMINANTS OF INTENTIONAL AND UNINTENTIONAL NONADHERENCE IN PATIENTS UNDERGOING AUTOMATED PERITONEAL DIALYSIS AND CONTINUOUS AMBULATORY PERITONEAL DIALYSIS
Authors: YU ZHENLI
Keywords: adherence, beliefs about prescribed medicines, mental health, peritoneal dialysis, quality of life, self-efficacy.
Issue Date: 18-Aug-2011
Source: YU ZHENLI (2011-08-18). PSYCHOSOCIAL DETERMINANTS OF INTENTIONAL AND UNINTENTIONAL NONADHERENCE IN PATIENTS UNDERGOING AUTOMATED PERITONEAL DIALYSIS AND CONTINUOUS AMBULATORY PERITONEAL DIALYSIS. ScholarBank@NUS Repository.
Abstract: The purpose of this study was to evaluate the prevalence of nonadherence and associated psychosocial factors (i.e., health beliefs, emotional distress and quality of life) in patients undergoing peritoneal dialysis (PD). Intentional (e.g., reasoned decision) and unintentional (e.g., forgetting) nonadherence were investigated as separate constructs and compared. It was a cross-sectional survey conducted with 144 PD patients. Nonadherence to all three main components of the therapeutic regimen, i.e., performing dialysis exchanges, taking medication as instructed and restricting dietary intake, was common, with dietary guidelines the most difficult to adhere to. Intentional nonadherence occurred more frequently than unintentional nonadherence for dialysis and diet; intentional and unintentional nonadherence to medication were equivalent. Nonadherence was strongly affected by psychosocial factors. More specifically, patient satisfaction was the most important predictor of intentional nonadherence to dialysis, whereas environment quality of life was the strongest predictor of unintentional nonadherence to dialysis. Self-efficacy was the strongest predictor of intentional and unintentional nonadherence to both medication and diet.
URI: http://scholarbank.nus.edu.sg/handle/10635/30281
Appears in Collections:Master's Theses (Open)

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