The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen
BackgroundPatients’ illness perceptions are cognitive representations or beliefs structured around their condition. These perceptions have been associated with several important outcomes, including functional recovery and treatment adherence.ObjectiveThe aim of this study was to investigate the asso...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1432648/full |
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| author | Adel Omar Laradhi Adel Omar Laradhi Yan Shan Abdulaziz Mansoor Al Raimi Nahed Ahmed Hussien Eman Ragab Mikiyas Amare Getu Galal Al-Bani Mohamed Elsayed Allawy |
| author_facet | Adel Omar Laradhi Adel Omar Laradhi Yan Shan Abdulaziz Mansoor Al Raimi Nahed Ahmed Hussien Eman Ragab Mikiyas Amare Getu Galal Al-Bani Mohamed Elsayed Allawy |
| author_sort | Adel Omar Laradhi |
| collection | DOAJ |
| description | BackgroundPatients’ illness perceptions are cognitive representations or beliefs structured around their condition. These perceptions have been associated with several important outcomes, including functional recovery and treatment adherence.ObjectiveThe aim of this study was to investigate the association between illness perception and related factors with treatment adherence among hemodialysis patients with cardio-renal syndrome in Yemen.MethodsThis cross-sectional study was conducted at two dialysis centers in Hadhramout Governorate, Yemen, from February to May 2021. Three self-administered questionnaires were used to collect the data. Data analysis was performed using SPSS version 23.0 with a significance level set at p < 0.05.ResultsIn total, 100 patients answered all questions with a total response rate of 100%. The mean age ± standard deviation of participants was 53.46 ± 14.24 years. Most patients (87%) had a low level of treatment adherence, particularly in medication and diet restriction adherence. Furthermore, most patients (90%) had a moderate-to-high level of perceived illness threat. The findings revealed no significant correlation between overall illness perception and overall treatment adherence (r = 0.003, p = 0.975). However, the perceived consequences (r = −0.210, p < 0.05), and perceived timeline subscales (r = −0.276, p < 0.01) showed a negative correlation with total treatment adherence. Additional findings revealed a significant positive link between adherence and cardiac disorders (β = 4.292, p = 0.009), as well as a strong correlation between adherence and income level (β = 11.132, p < 0.001).ConclusionsOur research found that most patients with cardio-renal syndrome had poor treatment adherence and had a moderate-to-high level of perceived illness threat. The results of the study showed that perceived consequences and perceived timeline subscales of illness perceptions had a negative correlation with overall treatment adherence, and the results revealed a significant positive link between adherence and cardiac disorders, as well as a strong correlation between adherence and income level. The findings suggest that nurses and clinicians should assess the illness perceptions specific to patients with cardio-renal syndrome disease when developing multidisciplinary interventions to help patients cope with and manage different aspects of their condition. |
| format | Article |
| id | doaj-art-84cbe29132d541a39436218025730fea |
| institution | OA Journals |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-84cbe29132d541a39436218025730fea2025-08-20T02:20:11ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-04-011210.3389/fcvm.2025.14326481432648The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in YemenAdel Omar Laradhi0Adel Omar Laradhi1Yan Shan2Abdulaziz Mansoor Al Raimi3Nahed Ahmed Hussien4Eman Ragab5Mikiyas Amare Getu6Galal Al-Bani7Mohamed Elsayed Allawy8Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi ArabiaThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, ChinaThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, ChinaSeiyun Community College, Hadhramout, YemenFaculty of Nursing, Suez Canal University, Ismailia, EgyptFaculty of Nursing, Suez Canal University, Ismailia, EgyptSchool of Nursing and Health, Woldia University, Woldia, EthiopiaDepartment of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi ArabiaDepartment of Nursing Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Wadi Alddawasir, Saudi ArabiaBackgroundPatients’ illness perceptions are cognitive representations or beliefs structured around their condition. These perceptions have been associated with several important outcomes, including functional recovery and treatment adherence.ObjectiveThe aim of this study was to investigate the association between illness perception and related factors with treatment adherence among hemodialysis patients with cardio-renal syndrome in Yemen.MethodsThis cross-sectional study was conducted at two dialysis centers in Hadhramout Governorate, Yemen, from February to May 2021. Three self-administered questionnaires were used to collect the data. Data analysis was performed using SPSS version 23.0 with a significance level set at p < 0.05.ResultsIn total, 100 patients answered all questions with a total response rate of 100%. The mean age ± standard deviation of participants was 53.46 ± 14.24 years. Most patients (87%) had a low level of treatment adherence, particularly in medication and diet restriction adherence. Furthermore, most patients (90%) had a moderate-to-high level of perceived illness threat. The findings revealed no significant correlation between overall illness perception and overall treatment adherence (r = 0.003, p = 0.975). However, the perceived consequences (r = −0.210, p < 0.05), and perceived timeline subscales (r = −0.276, p < 0.01) showed a negative correlation with total treatment adherence. Additional findings revealed a significant positive link between adherence and cardiac disorders (β = 4.292, p = 0.009), as well as a strong correlation between adherence and income level (β = 11.132, p < 0.001).ConclusionsOur research found that most patients with cardio-renal syndrome had poor treatment adherence and had a moderate-to-high level of perceived illness threat. The results of the study showed that perceived consequences and perceived timeline subscales of illness perceptions had a negative correlation with overall treatment adherence, and the results revealed a significant positive link between adherence and cardiac disorders, as well as a strong correlation between adherence and income level. The findings suggest that nurses and clinicians should assess the illness perceptions specific to patients with cardio-renal syndrome disease when developing multidisciplinary interventions to help patients cope with and manage different aspects of their condition.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1432648/fullcardio-renal syndromehemodialysisillness perceptiontreatment adherenceYemen |
| spellingShingle | Adel Omar Laradhi Adel Omar Laradhi Yan Shan Abdulaziz Mansoor Al Raimi Nahed Ahmed Hussien Eman Ragab Mikiyas Amare Getu Galal Al-Bani Mohamed Elsayed Allawy The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen Frontiers in Cardiovascular Medicine cardio-renal syndrome hemodialysis illness perception treatment adherence Yemen |
| title | The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen |
| title_full | The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen |
| title_fullStr | The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen |
| title_full_unstemmed | The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen |
| title_short | The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen |
| title_sort | association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio renal syndrome in yemen |
| topic | cardio-renal syndrome hemodialysis illness perception treatment adherence Yemen |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1432648/full |
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