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

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dc.contributor.authorOltuluoğlu, Hatice
dc.contributor.authorKömürkara, Sema
dc.date.accessioned2026-04-04T13:19:09Z
dc.date.available2026-04-04T13:19:09Z
dc.date.issued2026
dc.departmentİnönü Üniversitesi
dc.description.abstractAim: 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.
dc.identifier.doi10.47565/ndthdt.1828369
dc.identifier.endpage47
dc.identifier.issn2147-7728
dc.identifier.issue1
dc.identifier.scopus2-s2.0-105029551455
dc.identifier.scopusqualityQ3
dc.identifier.startpage36
dc.identifier.urihttps://doi.org/10.47565/ndthdt.1828369
dc.identifier.urihttps://hdl.handle.net/11616/108208
dc.identifier.volume21
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherTurk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi
dc.relation.ispartofNefroloji Hemsireligi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250329
dc.subjectActivities of Daily Living
dc.subjectFrailty
dc.subjectHemodialysis
dc.subjectMedication Adherence
dc.subjectNursing
dc.titleThe Effect of Frailty on Daily Living Activities and Treatment Adherence in Hemodialysis Patients
dc.title.alternativeHemodiyaliz Hastalarında Kırılganlığın Günlük Yaşam Aktiviteleri ve Tedaviye Uyum Düzeyine Etkisi]
dc.typeArticle

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