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.
Prevalence and Consequences of Nonadherence to Hemodialysis Regimens
Kris Denhaerynck, Dominique Manhaeve, Fabienne Dobbels, Daniela Garzoni, Christa Nolte, Sabina De Geest; Prevalence and Consequences of Nonadherence to Hemodialysis Regimens. Am J Crit Care 1 May 2007; 16 (3): 222–235. doi: https://doi.org/10.4037/ajcc2007.16.3.222
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