Award Date


Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Patricia Alpert

Second Committee Member

Jennifer Kawi

Third Committee Member

Dick Tandy

Number of Pages



Patients with end-stage renal disease (ESRD) who receive hemodialysis often fail to follow a prescribed diet and fluid regimen, which undermines the effectiveness of care and leads to unpredictable disease progression and greater likelihood of complications. Non-adherence to dietary and fluid limitations compromises the outcomes of patients receiving hemodialysis. Noncompliance can lead to detrimental long-term outcomes including deterioration of the cardiovascular system, heart failure, hypertension, and pulmonary edema as well as short-term problems such as edema, itching, bone pain, and breathlessness.

Many studies have demonstrated that self-efficacy strategies are associated with improved dietary and fluid compliance among individuals receiving hemodialysis. The benefits of self-efficacy include an emphasis on an individual's control over behavior, continuous and immediate feedback to the client, and a more complete and thorough account of behavior. A self-efficacy strategy has been successfully used in a variety of cases concerning chronically ill patients. The purpose of this project is to determine the relationship between self-efficacy and fluid and dietary compliance in hemodialysis patients, as well as to identify the possible barriers that prevent patient compliance. A total of 100 eligible ESRD patients who receive routine hemodialysis three times a week participated in this study. The study used a modified version of the "Your Health and Well-Being" questionnaire, which addressed potential barriers to fluid and dietary restrictions as well as specific questions related to self-efficacy. Bivariate correlational analysis showed there is a strong positive correlation between self-efficacy and daily fluid restriction (r=.56) p


Chronic renal failure – Nutritional aspects; Compliance; Diet; Diet therapy; Drinking behavior; Fluid; Hemodialysis; Hemodialysis – Patients; Noncompliance; Patient compliance; Self Efficacy


Human and Clinical Nutrition | Nursing

File Format


Degree Grantor

University of Nevada, Las Vegas




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