PREVALENCE AND CONSEQUENCES OF NONADHERENCE TO HEMODIALYSIS REGIMENS.

Autor: Denhaerynck, Kris, Manhaeve, Dominique, Dobbels, Fabienne, Garzoni, Daniela, Nolte, Christa, De Geest, Sabina
Předmět:
Zdroj: American Journal of Critical Care; May2007, Vol. 16 Issue 3, p222-236, 15p
Abstrakt: Adherence to fluid restrictions and dietary and medication guidelines as well as attendance at prescribed hemodialysis sessions of a hemodialysis regimen are essential for adequate management of end-stage renal disease. A literature review was conducted to determine the prevalence and consequences of nonadherence to the different aspects of a hemodialysis regimen and the methodological obstacles in research on nonadherence. Nonadherence to the prescribed regimen is a common problem in hemodialysis and is associated with increased morbidity and mortality. Research on nonadherence is associated with 2 major obstacles: inconsistencies in definitions and invalid measurement methods. Further research is needed to validate measurement methods and to establish clinically relevant operational definitions of nonadherence. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index