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Sabina De Geest
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Journal Articles
CE Article
Kris Denhaerynck, RN, PhD, Dominique Manhaeve, MNS, Fabienne Dobbels, PhD, Daniela Garzoni, MD, Christa Nolte, RN ...
Journal:
American Journal of Critical Care
American Journal of Critical Care (2007) 16 (3): 222–235.
Published: 01 May 2007
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.