ASSESSMENT OF TREATMENT ADHERENCE AMONG HEMODIALYSIS PATIENTS AT MILITARY HOSPITAL 7
Main Article Content
Abstract
Objective: To describe treatment adherence and associated factors among maintenance hemodialysis patients at Military Hospital 7. Methods: A cross-sectional descriptive study was conducted on 84 patients treated from January to October 2025. Treatment adherence was evaluated using the GR-SMAQ-HD questionnaire (45 complete responses), and physician trust was measured using the Trust in Physician Scale (TPS, 49 complete responses) as a potential influencing factor. Data were analyzed using SPSS 26.0 with a significance level of p < 0.05. Results: Overall good adherence was observed in 64.3% of patients, highest in session attendance (96%) and full dialysis duration (94%). Non-adherence was mainly related to medication-taking behavior (forgetfulness, 16.3%) and discontinuation when unwell (7.8%). The mean physician trust score was 45.82 ± 5.28, reflecting high trust. Older age was associated with lower trust (p < 0.05), with no gender difference. Conclusion: Hemodialysis patients at Military Hospital 7 demonstrated relatively good overall treatment adherence, particularly in technical compliance. Physician trust appears to be an important psychosocial determinant supporting adherence and sustainable treatment outcomes.
Article Details
Keywords
treatment adherence, hemodialysis, physician trust, chronic kidney disease, military hospital
References
2. Jha V, Garcia-Garcia G, Iseki K, et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2023;402(10392):1811–1825.
3. Almutary H, Bonner A, Douglas C. Factors associated with health-related quality of life among hemodialysis patients: a systematic review. BMC Nephrol. 2023;24(1):112.
4. Nguyen Thi Quynh, Le Thi Hoa, Pham Van Long, et al. Medication adherence and its associated factors among patients on chronic hemodialysis in Vietnam: a cross-sectional study. PLoS One. 2024;19(2):e0301165.
5. Park J, Lee H, Kim Y, et al. Trust in physicians as a mediator between patient-centered care and medication adherence among hemodialysis patients. Int Urol Nephrol. 2025;57(3):521–530.
6. Lee M, Lee H, Kim S, et al. Trust, multidimensional health literacy, and medication adherence among patients undergoing long-term hemodialysis. Front Public Health. 2023;11:1237845.
7. Chen YC, et al. Quality of life among patients on maintenance hemodialysis in Taiwan: a multicenter study. BMC Nephrol. 2023;24(1):112.
8. Minhaj A, et al. Health-related quality of life among chronic hemodialysis patients: A cross-sectional analysis in Pakistan. Front Public Health. 2024;12:1442871.
9. Kim SJ, et al. Effects of multidisciplinary interventions on physical and psychosocial well-being of hemodialysis patients in Korea. Nephrol Dial Transplant. 2024;39(1):85–94.
10. Hays RD, Kalantar-Zadeh K. Recent developments in the KDQOL-SF: reliability and validity in US hemodialysis patients. Clin J Am Soc Nephrol. 2024;19(2):305–314.