The Non-adherence with Treatment in Dialysis Patients in Iran: A Systematic Review

Non-adherence with treatment is a common problem among hemodialysis patients and was considered as a reliable factor in patients deteriorating, increasing admission chance and inappropriate responding to hemodialysis treatment. According to multiple factors related to Non-adherence to hemodialysis treatment and its importance in patients' quality of life, this study aimed at a systematic reviewing of adherence 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 non-adherence) for English and Persian databases; Iranmedex, Magiran, 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. Inclusion and exclusion criteria were: papers related to adherence or Non-adherence, papers were in English and Persian, the papers were original and all papers were free full text. As a result, 15 papers related to inclusion and exclusion criteria were identified and analyzed. Data were collected according to study features, measures of Non-adherence, prevalence rates and factors related to Non-adherence. The PRISMA guidelines were followed to conduct this systematic review. The most important reasons for Non-adherence with treatment included: psychological reasons, the lack of awareness and attitude of dialysis patients and lack of social support. Treatment for adherence is so important and can play a very significant role to improve the health in patients on dialysis. Therefore, it is needed to pay more attention to causes of Non-adherence to treatment in hemodialysis patients.