Abstract：
The nonadherence of hemodialysis (HD) patients correlates with morbidity and mortality. Despite severe consequences, noncompliance with their medical regimen is the norm for HD patients rather than the exception. Factors associated with nonadherence to dietary restrictions among HD patients have been explored in many studies; however, most were in Western countries and there is a remarkable paucity of studies in Saudi Arabia. HD patients have several features that put them at an increased risk of nonadherence to dietary restrictions, including prolonged, intensive treatment, and their medical regimens are easily determined with objective measures. This crosssectional study aimed to determine factors related to nonadherence to dietary restrictions among 361 HD patients randomly selected from HD centers in Makkah, Saudi Arabia. Individuals were assessed for adherence using the End-Stage Renal Disease - Adherence Questionnaire in addition to clinical examinations and laboratory investigations. Female patients were more likely to be nonadherent to dietary restrictions. Adherence to dietary restrictions was relatively higher among non-Saudi patients, older people, those who are married, those with university qualifications, those who are employed, and those with higher monthly incomes; nevertheless, these differences were not statistically significant. Despite the relatively higher frequency of adherence to dietary restrictions among patients with a duration of dialysis of <60 months, hypertensive patients, patients with a previous kidney transplant, and those with a previous history of psychiatric illnesses, these differences were not statistically significant. Patients with factors associated with nonadherence to dietary restrictions deserve special attention and support to improve their adherence.
摘要：
血液透析（HD）患者的不依从性与发病率和死亡率相关。尽管后果很严重,不遵守他们的医疗方案是HD患者的常态，而不是例外。在许多研究中已经探讨了与HD患者不遵守饮食限制相关的因素；然而，大多数在西方国家，在沙特阿拉伯的研究非常缺乏。HD患者有几个特点，使他们不遵守饮食限制的风险增加，包括长时间的，强化治疗,他们的医疗方案很容易通过客观措施确定。这项横断面研究旨在确定从麦加HD中心随机选择的361名HD患者不遵守饮食限制的相关因素。沙特阿拉伯。除了临床检查和实验室调查外，还使用终末期肾病-依从性问卷评估个体的依从性。女性患者更有可能不遵守饮食限制。非沙特患者对饮食限制的依从性相对较高，老年人,那些已婚的人，那些有大学资格的人，那些被雇佣的人，和月收入较高的人；然而，这些差异没有统计学意义.尽管透析时间<60个月的患者坚持饮食限制的频率相对较高，高血压患者,先前接受过肾脏移植的患者，那些有精神病史的人，这些差异没有统计学意义.具有与不遵守饮食限制相关因素的患者值得特别关注和支持，以提高其依从性。
