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Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis.
J Adv Nurs. 2010 Apr; 66(4):763-73.JA

Abstract

AIM

This paper is a report of a study conducted to examine self-reported adherence to a therapeutic regimen for continuous ambulatory peritoneal dialysis.

BACKGROUND

Studies of patients' adherence during dialysis have primarily focused on haemodialysis and have frequently yielded inconsistent results, which are attributed to the inconsistent tools used to measure adherence. Levels of adherence to all four components of the therapeutic regimen (i.e. dietary and fluid restrictions, medication, and the dialysis regimen) among patients receiving peritoneal dialysis have not been examined, especially from a patient perspective.

METHODS

A total population sample was used. A cross-sectional survey was carried out by face-to-face interviews in 2005 in one renal clinic in Hong Kong. A total of 173 patients undergoing peritoneal dialysis (56% of the total population) participated in the study.

RESULTS

Patients perceived themselves as more adherent to medication (83%; 95% confidence interval 77-88%) and dialysis (93%; 95% confidence interval 88-96%) prescriptions than to fluid (64%; 95% confidence interval 56-71%) and dietary (38%; 95% confidence interval 30-45%) restrictions. Those who were male, younger or had received dialysis for 1-3 years saw themselves as more non-adherent compared with other patients.

CONCLUSION

Healthcare professionals should take cultural issues into consideration when setting dietary and fluid restriction guidelines. Additional attention and support are required for patients who identify themselves as more non-adherent. To help patients live with end-stage renal disease and its treatment, qualitative research is required to understand how they go through the dynamic process of adherence.

Authors+Show Affiliations

The Nethersole School of Nursing, The Chinese University of Hong Kong. lwlam@cuhk.edu.hkNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20423364

Citation

Lam, Lai Wah, et al. "Self-reported Adherence to a Therapeutic Regimen Among Patients Undergoing Continuous Ambulatory Peritoneal Dialysis." Journal of Advanced Nursing, vol. 66, no. 4, 2010, pp. 763-73.
Lam LW, Twinn SF, Chan SW. Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis. J Adv Nurs. 2010;66(4):763-73.
Lam, L. W., Twinn, S. F., & Chan, S. W. (2010). Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis. Journal of Advanced Nursing, 66(4), 763-73. https://doi.org/10.1111/j.1365-2648.2009.05235.x
Lam LW, Twinn SF, Chan SW. Self-reported Adherence to a Therapeutic Regimen Among Patients Undergoing Continuous Ambulatory Peritoneal Dialysis. J Adv Nurs. 2010;66(4):763-73. PubMed PMID: 20423364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis. AU - Lam,Lai Wah, AU - Twinn,Sheila F, AU - Chan,Sally W C, PY - 2010/4/29/entrez PY - 2010/4/29/pubmed PY - 2010/8/5/medline SP - 763 EP - 73 JF - Journal of advanced nursing JO - J Adv Nurs VL - 66 IS - 4 N2 - AIM: This paper is a report of a study conducted to examine self-reported adherence to a therapeutic regimen for continuous ambulatory peritoneal dialysis. BACKGROUND: Studies of patients' adherence during dialysis have primarily focused on haemodialysis and have frequently yielded inconsistent results, which are attributed to the inconsistent tools used to measure adherence. Levels of adherence to all four components of the therapeutic regimen (i.e. dietary and fluid restrictions, medication, and the dialysis regimen) among patients receiving peritoneal dialysis have not been examined, especially from a patient perspective. METHODS: A total population sample was used. A cross-sectional survey was carried out by face-to-face interviews in 2005 in one renal clinic in Hong Kong. A total of 173 patients undergoing peritoneal dialysis (56% of the total population) participated in the study. RESULTS: Patients perceived themselves as more adherent to medication (83%; 95% confidence interval 77-88%) and dialysis (93%; 95% confidence interval 88-96%) prescriptions than to fluid (64%; 95% confidence interval 56-71%) and dietary (38%; 95% confidence interval 30-45%) restrictions. Those who were male, younger or had received dialysis for 1-3 years saw themselves as more non-adherent compared with other patients. CONCLUSION: Healthcare professionals should take cultural issues into consideration when setting dietary and fluid restriction guidelines. Additional attention and support are required for patients who identify themselves as more non-adherent. To help patients live with end-stage renal disease and its treatment, qualitative research is required to understand how they go through the dynamic process of adherence. SN - 1365-2648 UR - https://www.unboundmedicine.com/medline/citation/20423364/Self_reported_adherence_to_a_therapeutic_regimen_among_patients_undergoing_continuous_ambulatory_peritoneal_dialysis_ L2 - https://doi.org/10.1111/j.1365-2648.2009.05235.x DB - PRIME DP - Unbound Medicine ER -