Prevalence and consequences of nonadherence to hemodialysis regimens.
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.
Denhaerynck
Kris
K
Institute of Nursing Science, University of Basel, Basel, Switzerland.
Manhaeve
Dominique
D
Dobbels
Fabienne
F
Garzoni
Daniela
D
Nolte
Christa
C
De Geest
Sabina
S
D001071:Appointments and Schedules; D002985:Clinical Protocols; D004032:Diet; D006801:Humans; D010349:Patient Compliance; D015995:Prevalence; D006435:Renal Dialysis; D016312:Treatment Refusal