The Relationship between Self-efficacy and Fluid,and Dietary Compliance in Hemodialysis Patients

Patients with end-stage renal disease (ESRD) who receive hemodialysis often fail to follow a prescribed diet and fluid regimen, which undermines the effectiveness of care and leads to unpredictable disease progression and greater likelihood of complications. Non-adherence to dietary and fluid limitations compromises the outcomes of patients receiving hemodialysis. Noncompliance can lead to detrimental long-term outcomes including deterioration of the cardiovascular system, heart failure, hypertension, and pulmonary edema as well as short-term problems such as edema, itching, bone pain, and breathlessness. Many studies have demonstrated that self-efficacy strategies are associated with improved dietary and fluid compliance among individuals receiving hemodialysis. The benefits of self-efficacy include an emphasis on an individual\u27s control over behavior, continuous and immediate feedback to the client, and a more complete and thorough account of behavior. A self-efficacy strategy has been successfully used in a variety of cases concerning chronically ill patients. The purpose of this project is to determine the relationship between self-efficacy and fluid and dietary compliance in hemodialysis patients, as well as to identify the possible barriers that prevent patient compliance. A total of 100 eligible ESRD patients who receive routine hemodialysis three times a week participated in this study. The study used a modified version of the Your Health and Well-Being questionnaire, which addressed potential barriers to fluid and dietary restrictions as well as specific questions related to self-efficacy. Bivariate correlational analysis showed there is a strong positive correlation between self-efficacy and daily fluid restriction (r=.56)