Effect of Designing Nursing Instructions on Adherence to Medication among Patient Undergoing Hemodialysis

Mahmoud, Marwa Moustafa; Abozead, Shalabia Elsayed; Ghanem, Hala Mohamed; Tony, Effat Abd El-Hady

doi:10.21608/asnj.2024.271902.1791

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	Effect of Designing Nursing Instructions on Adherence to Medication among Patient Undergoing Hemodialysis
Article 8, Volume 12, Issue 42, February 2024, Page 69-75 PDF (937.58 K)
Document Type: Original Article
DOI: 10.21608/asnj.2024.271902.1791
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Authors
Marwa Moustafa Mahmoud ¹; Shalabia Elsayed Abozead²; Hala Mohamed Ghanem³; Effat Abd El-Hady Tony⁴
¹Nursing Specialist at the Technical Institute of Nursing, Assiut University, Egypt.
²Professor of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
³Assistant Professor of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
⁴Professor of Internal Medicine and Nephrology, Faculty of Medicine, Assiut University, Egypt.
Abstract
Background: One of the most important variables in determining the efficacy of treatment is adherence to therapies. Adherence failure is a severe issue that impacts the patient as well as the health care system. Patient who do not take their medications as prescribed have significant deterioration of their illness, death and higher medical expenses. This study aimed to assess the level of patients' adherence to medications, designing nursing instructions about adherence to medications and Implement and evaluate the effect of nursing instructions on patient's adherence to medications. Research design: A quasi experimental (pre and post- test) research design was used in this study. Sample: A Convenience samples of one hundred adult patients who are willing to participate in the study and are within age range of (20 – 65) who receive regular hemodialysis. Setting: The study was conducted in Hemodialysis Unit at Assiut University Hospital. Tool: A structured interview questionnaire concerning demographic and medical data, and simplified Medication Adherence Questionnaire (SMAQ) and designing nursing instructions was used. Results: This study was composed of a higher proportion of men than women (51%), the majority of patients were unemployed (80%), the majority of patients were married, that the patients' age ranged from50-65, and that the majority of patients had only completed secondary. Conclusion: There were a statistically significant differences between total scores of adherence to medication (pre / post-test) (after two month) after implementing nursing instructions (P=0.001) and Hemodialysis patients who follow their nursing instructions are more likely to take their medication as prescribed. Recommendations: Improving hemodialysis patients' medication adherence can be achieved by creating methods related to medication adherence.
Keywords
Adherence; Hemodialysis; Medication & Nursing Instructions


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