Abstract
Introduction: Institutionalizing adherence to treatment in hemodialysis patients is one of
the important nursing goals for improving quality of life in these patients. Adherence to
treatment approach in these patients can play a pivotal role in improving the health level and
feeling of well-being.
Objectives: This study aimed at determining the quality of life in hemodialysis patients
presenting to hemodialysis centers affiliated to Shahid Beheshti University of Medical
Sciences, Tehran, Iran, on the basis of adherence to treatment.
Patients and Methods: This is a correlational descriptive-analytic study. The study
population consisted of hemodialysis patients in five hospitals affiliated to Shahid Beheshti
University of Medical Sciences, Tehran, in 2017. The data were collected during 8 months
from October 2016 to May 2017 in Tehran. A sample volume of 200 patients was determined
in this study. Demographic information questionnaire, KDQOL-SF, and ESRD-AQ were
applied in data collection. Availability sampling method was used to select the samples on the
basis of inclusion criteria. The data were analyzed with SPSS version 18 using descriptive and
inferential statistics.
Results: Our findings showed that 50% of the patients were male. Most of the respondents
of the study (23%) were 51-60 years old. The results indicated that the mean score of quality
of life of patients was 50.42±22.81. The mean total score of adherence to treatment was
901.13±85.30. Also, the correlation coefficient in this study revealed a significant correlation
between total score of quality of life and adherence to treatment (r=0.218, P<0.01).
Conclusion: Considering the significant correlation between adherence to treatment and life
quality of patients, healthcare providers can promote the life quality of these patients via
focusing on planning programs for emphasizing the role of education and interventions that
improve adherence to treatment in these patients.