Abstract: Objective To explore the factors affecting the compliance of dialysis in chronic renal failure patients,and to provide the basis for rational improvement in the care approach of chronic renal failure patients undergoing dialysis. Methods The patients' informations were collected to analyze the relationship between patients' compliance and age,educational condition,psychological and emotional condition,dialysis duration,trust in the medical staff,occupational and economic status. Results In accordance with compliance behaviors,the patients were divided into the following groups based on age ( ﹥ 18 - 40 years,﹥ 40 - 60 years and ﹥ 60 - 80 years),educational background( preliminary school and below,middle school and high school and university and above),Hamilton Dysphoria Questionnaire ( ﹤ 14 scores,≥14 - 28 scores,≥29 scores),Hamilton Depression Questionnaire( ﹤ 14 scores,≥14 -28 scores and ≥29 scores),dialysis duration( ≤1 year,﹥ 1 - 3 years and ﹥ 3 years),trust in the medical staff( good,average and poor),occupation( public servant,white collar and farmer) and economic status( completely satisfied,averagely satisfied and unsatisfied). The patients' compliance behaviors were all satistically different among these groups( P ﹤ 0. 01 ). Logistic regression analysis showed that the compliance of dialysis in chronic renal failure patients was associated with age, educational background,Hamilton Dysphoria Questionnaire,Hamilton Depression Questionnaire,dialysis duration,trust in the medical staff,occupation and economic status( P ﹤ 0. 05). Conclusion Age, educational condition,psychological and emotional condition,dialysis duration,trust in the medical staff, occupational and economic status are all factors that affect a better degree of patient compliance behavior. The formulating of treatment plan and care measures should be individualized,thus improving to patients' compliance behavior,the therapeutic effect.

Key words: kidney failure, chronic, dialysis, patient compliance, root cause analysis