Abstract

Non-adherence with treatment is a common problem among hemodialysis (HD) patients and was considered as a reliable factor in patients deteriorating, increasing admission chance and inappropriate responding to HD treatment. According to multiple factors related to Non-adherence to HD treatment and its importance in patients’ quality of life, this study aimed at a systematic reviewing of Nonadherence with treatment in dialysis patients in Iran. Treatment with adherence status is one of the problems that patient has on dialysis. This study aims at detecting the most important causes of Non-adherence in patients on dialysis according to previous studies. First, all of the studies related to our title were searched using some keywords (dialysis, hemodialysis, adherence, and nonadherence) for English and Persian databases; Iranmedex, Magi ran, SID, Iran doc, Google, Google scholar, PubMed, Embase, CINAHL, PsycInfo, and Cochrane Database of Systematic that covering the period from 2010 to 2018 was reviewing following a predefined inclusion and exclusion criteria. As a result, 40 papers related to inclusion and exclusion criteria were identified and analyzed. Data were collected according to study features, measures of Nonadherence, prevalence rates and factors related to Non-adherence. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to conduct this systematic review. According the results of present study six main categories were found. The main reasons for Non-adherence with treatment in dialysis patients listed in the papers included: Patient related factors, socioeconomic factors, Psychological factors, Health care related factors, Therapy related factors and Disease-related Factors below is provided for each explanation. Treatment for improving adherence is so important and can play a very significant role to improve the health in patients on dialysis. © 2019, Iranian Society of Nephrology. All rights reserved.