In 2018 , the prevalence of chronic dialysis patients was 127 per million people. India has an

increasing number of patient who require dialysis due to kidney failure , hence there is a

requirement in to understand the what factors effect the treatment adherence for dialysis patient

so we can improve treatment efficiency. Adherence is defined by the WHO ,as the degree to

which the person behaviour corresponds with the agreed recommendation from a health care

provider.

Most patient only show a moderate level of adherence to treatment , despite the consequences

and health complication . Factors such as low socioeconomic status , lack of education about

the illness and importance of adherence , low support from family are prominent in literature .

Depression is marked by low mood, lack of pleasure in previously enjoyable activites and

fatiguability. Depression is prevalent in dialysis patient , and showed a reduce dietary and

medical adherence . 

Anxiety is the Vague and unpleasant emotion , based on anticipation of some real or imagine

situation . Anxiety at lower level , can be beneficially , but chronic anxiety and high level of

anxiety can impair functioning. Anxiety can cause many of physical and psychological

symptoms ,such as increased heartrate ,sweating , palpitation , restlessness, sleeping

difficulties, poor concentration.

Stress is a physiological reaction that use mobilizes body to burn resources to meet the

requirement of a situation. Stress shows similar symptoms to anxiety , though a key difference

is that for stress there needs to a stressor , a situation that leads to stress .

Self esteem is the evaluation of the self. High self esteem leads to belief that one is a good

person ,vice versa.