Effects of Perception of Health on Hemodialysis Dependent Individuals’ Nonadherence to Diet and Fluid Restriction


  • Safiye Yanmış Erzincan Binali Yıldırım University, Faculty of Health Science, Department of Internal Medicine Nursing
  • Seher Ergüney Ataturk University, Faculty of Nursing, Department of Internal Medicine Nursing




Diet, hemodialysis, perception of health, fluid restriction, nonadherence.


Purpose: The present study was conducted to determine the effects of health perception on hemodialysis-dependent individuals’ noncompliance to diet and fluid restriction. Material and method: The study was designed as a descriptive, cross ‐sectional, and correlational study. Findings: In the study, it was determined that the perception of health is related to a noncompliance to diet and fluid restriction and that their noncompliance to diet and fluid restriction levels decreased as their levels perception of health increased. Conclusion: Determining hemodialysis-dependent individuals’ perception of health and providing them with professional support will contribute to reducing noncompliance to diet and fluid restriction.



Anothaisintawee T, Rattanasiri S, Ingsathit A, Attia J, Thakkinstian A, “Prevalence of chronic kidney disease: A systematic review and meta-analysis“, Clinical Nephrology, vol. 71, no. 3, pp. 244-254, 2016. https://doi.org/10.5414/CNP71244

Kacar G, Chronic Kidney Failure and Care. In Z. Durna (Ed.), Cronic Disease and care (p. 392). İstanbul: Nobel Medicine publishing, 2012.

Suleymanlar G, Ates K, Seyahi N, Registry of The Nephrology, Dialysis and Transplantation in Turkey Registry 2018, 2019. Retrieved March 20, 2020, from file:///C:/Users/LENOVO/Desktop/REGISTRY_2018.pdf

WKD. World Kidney Day (WKD): Chronic Kidney Disease. 2020. Retrieved March 15, 2020, from https://www.worldkidneyday.org/2020-campaign/2020-wkd-theme/

Doganay S, Ucku SR, “Can poor self-rated health predict coronary heart disease (CHD) and mortality in the elderly people? ”, Turkish Journal of Geriatrics, vol. 15, no. 4, pp. 396-402, 2012.

Gunay O, İskender G, Ozturk A, Cetinkaya F, Nacar M, “The Effects of Various Factors on Poor Self-Rated Health Among The Older People in Kayseri, Turkey”, Turkish Journal of Geriatrics, vol. 8, no. 1, pp. 10-12, 2005.

Wilson IB, Cleary PD, “Linking clinical variables with health-related quality of life”, The Journal of the American Medical Association, vol. 273, no. 1, pp. 59-65, 1995.

Inkaya B, Pakyuz SC, “Developing a scale for the perception of health and complaints/symptoms in hemodialysis patients: Turkish versıon”, Journal of Clinical and Analytical Medicine, vol. 8, no. 6, pp. 453-457, 2017. https://doi.org/10.4328/JCAM.5118

Ozturk B, Akin S, Durna Z, Ozdilli K, “Evaluation of the level of knowledge associated with functional performance status, quality of life, and fistula care in patients ongoing hemodialysis therapy”, Journal of Nephrology Nursing, vol. 1, pp. 24-34, 2013.

Bademli K, Lok N, “Relatıonshıp Between The Health Perceptıon and Physıcal Actıvıty of Indıvıduals”, Turkish Journal of Sport and Exercise, vol. 20, no. 3, pp.127-129, 2018. https://doi.org/10.15314/tsed.452950

Kadioglu H, Yildiz A, “Validity and reliability of Turkish version of perception of health scale”, Turkiye Klinikleri Journal of Medical Sciences, vol. 32, no. 1, pp. 47-53, 2012. https://doi.org/10.5336/medsci.2010-21761

Plantinga LC, Boulware LE, Coresh J, Stevens LA, Miller ER, Saran R, … Powe NR, “Patient awareness of chronic kidney disease: Trends and predictors”, Archives of Internal Medicine, vol. 168, no. 20, pp. 2268-2275, 2008. https://doi.org/10.1001/archinte.168.20.2268

Tugut N, Bekar M, “Cumhuriyet University Student’s Healthy Perception State and the Correlation of Health Promotion Life Style”, Journal of Ataturk University School of Nursing, vol. 11, no. 3, pp. 17-26, 2008.

Beerendrakumar N, Ramamoorthy L, Haridasan S, “Dietary and Fluid Regime Compliance in Chronic Kidney Disease Patients”, Journal of Caring Sciences, vol. 7, no. 1, pp. 17-20, 2018. https://doi.org/10.15171/jcs.2018.003

Freedman I, “Cultural specificity in food choice - The case of ethnography in Japan”, Appetite, no. 96, pp. 138-146, 2016. doi:10.1016/j.appet.2015.09.006

Swift JA, Tischler V, “Qualitative research in nutrition and dietetics: getting started” Journal of Human Nutrition and Dietetics, vol. 23, no. 6, pp. 559-566, 2010. doi:10.1111/j.1365-277X.2010.01116.x

Gunalay S, Taskiran E, Mergen H, “Evaluation of dietary and fluid restriction noncompliance in patients on hemodialysis”, Istanbul Bilim University Florence Nightingale Journal of Medicine, vol. 3, no. 1, pp. 9-14, 2017. https://doi.org/10.5606/fng.btd.2017.003

Rosner, F. Patient noncompliance: Causes and solutions. The Mount Sinai Journal of Medicine, New York, 73, pp. 553-559, 2006.

Murali KM, Mullan J, Roodenrys S, Hassan HC, Lambert K, Lonergan M, “Strategies to improve dietary, fluid, dialysis or medication compliance in patients with end stage kidney disease on dialysis: A systematic review and meta-analysis of randomized intervention trials”, PLoS ONE, vol. 14, no. 1, pp. 1-27, 2019. https://doi.org/10.1371/journal.pone.0211479

Elmas A, Saral EE, Tugrul A, Sengul E, Bulbul F, “The Relationship Between The Level Of Nutritional Eduction And Clinical And Laboratory Findings In Hemodialysis Patients”, Medical Journal of Kocaeli, vol. 1, no. 3, pp. 23-26, 2012.

Kara B, A “Validity and Reliability Study of the Noncompliance Questionnaire with Dialysis Diet and Fluid Restrictions”, Journal of Ataturk University School of Nursing, vol. 12, no. 3, pp. 20-27, 2010.

Vlaminck H, Maes B, Jacobs A, Reyntjens S, Evers G, “The dialysis diet and fluid noncompliance questionnaire validity testing of a self-report instrument for clinical practice”, Journal of Clinical Nursing, vol. 10, pp. 707-715, 2001.

Diamond JJ, Becker JA, Arenson CA, Chambers CV, Rosenthal MP, “Development of a scale to measure adults’ perceptions of health: Preliminary findings”, Journal of Community Psychology, vol. 35, no. 5, pp. 557-561, 2007. https://doi.org/doi:10.1002/jcop.20164

Aciksoz S, Uzun S, Arslan F, “Relationship between perceptions of health status and health promotion behaviors in nursing students”, Gulhane Medical Journal, vol. 55, pp.181-187, 2013. https://doi.org/10.5455/gulhane.15228

Ozgur B, Kursat S, Aydemir O. “Evauuation of Quality of Life With the Leveus of Depression and Anxiety in Hemodialysis Patients”, Official Journal of the Turkish Society of Nephrology, vol. 12, no. 2, pp. 113-116, 2003.

Beerappa H, Chandrababu R, “Compliance to dietary and fluid restrictions among patients undergoing hemodialysis: An observational study”, Clinical Epidemiology and Global Health, vol. 7, no. 1, pp. 127-130, 2019. https://doi.org/10.1016/J.CEGH.2018.05.003

Opiyo RO, Nyasulu PS, Olenja J, Zunza M, Nguyen KA, Bukania Z, … Were AO, “Factors associated with compliance to dietary prescription among adult patients with chronic kidney disease on hemodialysis in national referral hospitals in Kenya: a mixed-methods survey”, Renal Replacement Therapy, vol. 5, no. 1, pp. 1-14, 2019. https://doi.org/10.1186/s41100-019-0237-4

Efe D, Kocaoz S, “Compliance to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in Turkey”, Japan Journal of Nursing Science, vol. 12, no. 2, pp. 113-123, 2015. https://doi.org/doi:10.1111/jjns.12055

Walt G, “WHO’s World Health Report 2003”. BMJ, vol. 328, no. 7430, p. 6, 2004. https://doi.org/10.1136/bmj.328.7430.6

Ho PM, Bryson CL, Rumsfeld JS, “Medication Compliance”, Circulation, vol. 119, no. 23, pp. 3028-3035, 2009. https://doi.org/10.1161/CIRCULATIONAHA.108.768986

Kvarnström K, Airaksinen M, Liira H, “Barriers and facilitators to medication compliance: a qualitative study with general practitioners”, BMJ Open, vol. 8, no. 1, pp. e015332, 2018. https://doi.org/10.1136/bmjopen-2016-015332

Khalil AA, Darawad MA, Gamal E, Hamdan-Mansour AM, Abed MA, “Predictors of dietary and fluid noncompliance in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study”, Journal of Clinical Nursing, vol. 22, no. 1–2, pp. 127-136, 2013. https://doi.org/doi:10.1111/j.1365-2702.2012.04117.x

Rita M, Boothby K, Salmon P, “The Grounding of the Construct of Self-Efficacy in Type 2 Diabetic Patients ’ Own Thinking ”, Turkiye Klinikleri Journal of Endocrinology, vol. 5, no, 2, 2010.

Krespi Boothby M, Salmon P, “Self-Efficacy and Hemodialysis Treatment: A Qualitative and Quantitative Approach”. Turkish Journal of Psychiatry, vol. 24, no. 2, pp. 84–93, 2013.

Hicdurmaz D, Oz F, “Coping Styles of Patients Taking Hemodialysis and Continuous Ambulatory Peritoneal Dialysis Treatment”, Journal of Hacettepe University Faculty of Nursing, vol. 16, no. 3, pp. 1-16, 2009.

Naalweh KS, Barakat MA, Sweileh MW, Al-Jabi SW, Sweileh WM, Zyoud SH, “Treatment compliance and perception in patients on maintenance hemodialysis: A cross - Sectional study from Palestine”, BMC Nephrology, vol. 18, no. 1, pp. 1-9, 2017. https://doi.org/10.1186/s12882-017-0598-2



How to Cite

Yanmış, S., & Ergüney, S. (2020). Effects of Perception of Health on Hemodialysis Dependent Individuals’ Nonadherence to Diet and Fluid Restriction. Asian Journal of Pharmacy, Nursing and Medical Sciences, 8(3). https://doi.org/10.24203/ajpnms.v8i3.6197