Associations Between Sociodemographic Characteristics, Social Support and Depression with Fluid Adherence Among Hemodialysis Patients in Bangi and Seri Kembangan, Selangor Malaysia

Shamsuri, Nurul Huda (2020) Associations Between Sociodemographic Characteristics, Social Support and Depression with Fluid Adherence Among Hemodialysis Patients in Bangi and Seri Kembangan, Selangor Malaysia. [Project Paper] (Submitted)

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Abstract

Introduction: Excessive interdialytic weight gain is considered as an indicator of fluid nonadherence and potentially caused life-threatening complications including cardiovascular damage and decrease the survival rate among hemodialysis patients. The objective of this study was to determine the associations between sociodemographic characteristics, social support and depression with fluid adherence among hemodialysis patients. Method: 54 patients aged from 36 to 80 years old (57.2 ± 12.2 year), consist of 32 (59.3%) males and 22 (40.7%) female from two private hemodialysis centers in Bangi and Seri Kembangan, Selangor, Malaysia were recruited for this cross-sectional study. Purposive sampling was used to increase the effectiveness in carrying out data collection by optimising the availability of time and cost. All eligible patients were undergoing hemodialysis session for four hours thrice weekly and provided informed consent. Data was collected using a set of questionnaires and conducted through face-to-face interview which consisted of four parts: a) the sociodemographic characteristics, b) the Multidimensional Scale of Perceived Social Support (MSPSS) to assess perceived social support, c) the Beck Depression Inventory (BDI) to assess depression level and d) Interdialytic Weight Gain (IDWG) to identify fluid adherence among hemodialysis patients. The associations between all variables with fluid adherence was assessed by using Spearman Correlation and Chi-square. Result: Prevalence of fluid nonadherence among hemodialysis patients was high at approximately 57.4%. Patients perceived high support from significant other followed by family and less from friends (mean 15.4 ± 4.2, 14.9 ± 4.1 and 10.3 ± 4.9 respectively). Approximately half of patients (50%) experience moderate to severe depression. Older (r=-0.337, p<0.005) and higher level of significant other support (r=-0.274, p<0.045) was associated with poor fluid adherence. Conclusion: Healthcare practitioners need to consider social support and depression as contributing factors for fluid adherence by providing effective social support network and performing regular depression test among hemodialysis patients.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Feb 2023 03:15
Last Modified:	21 Feb 2023 03:15
URI:	http://psaspb.upm.edu.my/id/eprint/753

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