Marital satisfaction and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of Medical Sciences and Health Services in 1388- 89.

AbstractBackgrounds and aimTherapeutic regimen non compliance is a common problem in hemodialysis patients. It is associated withmany side effects. Marital satisfaction and conflictions in dyadic relationships have an important effect oncompliance of a complex regimen. This study aims to determine the correlation between marital satisfactionand therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University ofMedical Sciences and Health Services in 1388-89.Materials and MethodsIn this descriptive correlatiional study 100 hemodialysis patients were selected through the judgmentalsampling method. Data gathering tool was a questionnaire consisting three parts: demographic data, diseaseand ENRICH Marital Satisfaction Inventory. The latter part is validated by content validity method. Thereliability of ENRICH Marital Satisfaction Inventory was determined by Chronbach’s = method. Thequestionnaires were completed by patients during hemodialysis. In order to determine the compliance oftherapeutic regimen, the researcher recorded the mean of the last three months’ values of P, K, interdialyticweight gain, and the numbers of missed dialysis sessions using patient’s documents. Data were analyzed bySPSS statistical softwareFindingsWhile 56% of patients had compliance in therapeutic regimen. 59% had low and very low and 41 % ofpatients had moderate and high marital satisfaction. There was a significant correlation between maritalsatisfaction and therapeutic regimen compliance and marital satisfaction in patients with therapeutic regimencompliance was high.ConclusionPlanning for counseling and supportive programs concerning marital satisfaction can be beneficial for patientsand their families in order to increase their therapeutic regimen compliance.Keywords: Marital satisfaction, Compliance, Hemodialysis, Chronic renal failur