Abstract
End-stage renal disease (ESRD) is a major public health concern as the
number around the globe rise. These patients use Renal Replacement
Therapy or hemodialysis (HD) for survival (Kazmi, 2013). However, a
mental assessment of cost and benefits made by the patients to adhere to
this treatment remains unexplored. This study qualitatively analyzed these
cost and benefits aspects that resonated in the minds of ESRD patients as
they battled adhering to RRT. A purposive sample of 5 male and 5 female
ESRD patients was taken and interviewed using thematic analysis.
Adherence to treatment emerged as a major theme in this analysis which
suggested that ESRD patients adhered to their treatment with this
understanding that treatment was more beneficial than its costs. Subthemes suggested patients realized benefits of medications, HD was
important and worth following and abstaining from certain diets and a
limited quantity of fluids. Based on these themes and sub-themes, it was
proposed that patients felt ESRD was effectively managed by their
treatment and made them feel better; however some patients did feel the
pinching costs of treatment over benefits. Medical professionals especially
nephrologists and health psychologists need to coax ESRD patients in
realizing the benefits of treatment and adhering even when costs are high.
Ghulam Ishaq, Rafia Rafique. (2021) Cost and Benefits Analysis of Treatment Adherence in End Stage Renal Disease, Journal of Behavioural Sciences, Volume-31, Issue-2.
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