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