Influence of dialysis patient satisfaction on therapeutic adherence.

摘要

OCHANDO GARCIA, Antonio et al. Influence of dialysis patient satisfaction on therapeutic adherence. Rev Soc Esp Enferm Nefrol [online]. 2008, vol.11, n.4, pp.271-276. ISSN 1139-1375.There are a number of factors that appear to be related to deficient adhesion to pharmacological therapy. The aim of this work was to evaluate the degree of adherence to pharmacological treatment by patients undergoing renal replacement therapy at our unit, and its possible relation to the degree of patient satisfaction with the treatment received. A descriptive and transversal study was carried out during the months of February and March 2007, administering two questionnaires, to evaluate satisfaction with healthcare services (modified SERVQHOS) and therapeutic adherence by patients (Morisky-Green test). A total of 85 patients were studied (rate of response of 87% in haemodialysis and 100% in peritoneal dialysis). 52.27% of patients on haemodialysis had no adherence with the pharmacological treatment while 47.73% did. The overall average satisfaction was 3.33 in haemodialysis patients and 3.65 in peritoneal dialysis (score range 1-4). We did not find any correlation between overall average satisfaction of patients undergoing haemodialysis and their adherence to treatment. After analysing the Morisky-Green test, the main causes of failure to adhere to therapy are, "stopping medication when not feeling well" (40%) and 17,4% "sometimes forget to take their medication"; however more than 95% of patients take their medication at the right time and do not suspend treatment when they feel well. We have not found any correlation between adherence to pharmacological treatment and the sociodemographic variables studied.