title: Determinants of compliance behaviours among patients undergoing hemodialysis in Malaysia.
abstract: BACKGROUND
  Patients with end stage renal disease often fail to follow prescribed dietary and fluid regimen, leading to undesirable outcomes. This study aimed to examine and identify factors influencing dietary, fluid, medication and dialysis compliance behaviours in patients undergoing hemodialysis.
  
  
  METHODS
  This was a cross-sectional study which employed purposive sampling design. A total of 188 respondents were recruited from 14 dialysis centres in Malaysia between 2008-2011. Self-reported compliance behaviours and biochemical measurements were used as evaluation tools.
  
  
  RESULTS
  Compliance rates of dietary, fluid, medication and dialysis were 27.7%, 24.5%, 66.5% and 91.0%, respectively. Younger, male, working patients and those with longer duration on hemodialysis were found more likely to be non-compliant. Lacks of adequate knowledge, inadequate self-efficacy skills, forgetfulness and financial constraints were the major perceived barriers towards better compliance to fluid, dietary, medication and dialysis, respectively.
  
  
  CONCLUSIONS
  Healthcare professionals should recognise the factors hindering compliance from the patients' perspective while assisting them with appropriate skills in making necessary changes possible.
authors.affiliation: Institute of Gerontology, University Putra Malaysia, Serdang, Malaysia. yokemun@medic.upm.edu.my
authors.forename: Yoke Mun
authors.initials: YM
authors.lastname: Chan
authors.forename: Mohd Shariff
authors.initials: MS
authors.lastname: Zalilah
authors.forename: Sing Ziunn
authors.initials: SZ
authors.lastname: Hii
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D006435:Renal Dialysis; D012959:Socioeconomic Factors