The Effect of Frailty on Daily Living Activities and Treatment Adherence in Hemodialysis Patients

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Tarih

2026

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Aim: This study aimed to examine in detail the impact of frailty on activities of daily living and treatment adherence among hemodialysis patients. Materials and Methods: The study was conducted between July and September 2023 in the hemodialysis units of a university hospital and a private hospital located in eastern Türkiye, using a cross-sectional descriptive design. A total of 135 patients receiving hemodialysis treatment were included in the study. Data were collected using the Patient Information Form, Frailty Assessment Scale, Katz Index of Activities of Daily Living, and the Morisky Medication Adherence Scale. Results: The mean scores of the Frailty Assessment Scale, Katz Index of Activities of Daily Living, and Morisky Medication Adherence Scale were 2.19±1.58, 16.18±2.76, and 2.58±1.27, respectively. Age was found to significantly affect both frailty and activities of daily living, whereas educational level had a significant effect only on activities of daily living (p<0.05). A moderate negative correlation was observed between frailty and activities of daily living (r=-0.489), and a moderate positive correlation was observed between frailty and medication adherence (r=0.302) (p<0.001). The findings indicate that as patients’ frailty levels decreased, their activities of daily living scores increased, while their medication adherence improved. Conclusion: The study revealed that hemodialysis patients are significantly frail and that frailty has a considerable impact on both activities of daily living and adherence to treatment. These findings underscore the need for clinical assessment of frailty and the implementation of interventions aimed at improving daily functioning and treatment adherence in this patient population. © 2026, Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi. All rights reserved.

Açıklama

Anahtar Kelimeler

Activities of Daily Living, Frailty, Hemodialysis, Medication Adherence, Nursing

Kaynak

Nefroloji Hemsireligi Dergisi

WoS Q Değeri

Scopus Q Değeri

Q3

Cilt

21

Sayı

1

Künye