Advances in Nursing & Midwifery

Abstract

Abstract
Backgrounds and aim
Therapeutic regimen non compliance is a common problem in hemodialysis patients. It is associated with
many side effects. Marital satisfaction and conflictions in dyadic relationships have an important effect on
compliance of a complex regimen. This study aims to determine the correlation between marital satisfaction
and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of
Medical Sciences and Health Services in 1388-89.
Materials and Methods
In this descriptive correlatiional study 100 hemodialysis patients were selected through the judgmental
sampling method. Data gathering tool was a questionnaire consisting three parts: demographic data, disease
and ENRICH Marital Satisfaction Inventory. The latter part is validated by content validity method. The
reliability of ENRICH Marital Satisfaction Inventory was determined by Chronbach’s = method. The
questionnaires were completed by patients during hemodialysis. In order to determine the compliance of
therapeutic regimen, the researcher recorded the mean of the last three months’ values of P, K, interdialytic
weight gain, and the numbers of missed dialysis sessions using patient’s documents. Data were analyzed by
SPSS statistical software
Findings
While 56% of patients had compliance in therapeutic regimen. 59% had low and very low and 41 % of
patients had moderate and high marital satisfaction. There was a significant correlation between marital
satisfaction and therapeutic regimen compliance and marital satisfaction in patients with therapeutic regimen
compliance was high.
Conclusion
Planning for counseling and supportive programs concerning marital satisfaction can be beneficial for patients
and their families in order to increase their therapeutic regimen compliance.
Keywords: Marital satisfaction, Compliance, Hemodialysis, Chronic renal failure