A prospective observational study was conducted in the department of nephrology in BGS Gleneagles Hospital, Bengaluru for a period of 6 months.
Results: Out of 89 patients 61 (68.53%) were male and 28 (31.46%) were female. Morisky Green Levine scale was used to deduce the medication adherence, Pre-counselling data revealed that out of 89 patients 3 (3.37%) were highly adherent, 72 (80.89%) showed medium level of adherence and 14 (15.73%) showed low level of adherence. The post counselling data revealed improvement in adherence level. 39.3% high adherence was found in males and 39.2% was observed in females. Medium level of adherence was seen in 59.01% males and 60.71% females. Low level of adherence was observed in 0.016% males and 0% in females was observed. Fluid overload status 16 (13%), hypotension 5 (4.06%), hypertension 04 (3.25%), breathlessness 3 (2.43%), pain at fistula site 02 (1.62%), hypoglycaemia 02 (1.62%), abdominal pain 02 (1.62%), weakness, itching and cramps 3 (2.43%), and chills, fever and body pains 02 (1.62%) were the Intradialytic complications observed.
Conclusion: From the present study it can be concluded that many forget to take medication as prescribed. Some have shown non-adherence because of the fear of early death or forget to carry their medications with them, some stopped taking the medicine when they feel better. Very few claimed that they complete the course of the prescribed medication. The study also revealed that patients in 35-60 age groups have higher level of adherence both before and after counselling, the prevalence of hypertension diabetes mellitus and other comorbid conditions in CKD seems to follow an increasing trend with increasing age. Special consideration is required for the diagnosis and management of Intradialytic complications because such complications could be managed successfully without the need for termination of the dialysis procedure.