Adherence Management in Hemodialysis Patients
Summary
Adherence management in haemodialysis patients addresses the challenge of ensuring that individuals consistently comply with treatment regimens that are complex and multifaceted. Effective adherence encompasses regular attendance at dialysis sessions, strict fluid and dietary restrictions, and accurate administration of prescribed medications. Non-adherence contributes to increased morbidity, hospitalisation rates and cardiovascular complications, as well as diminished quality of life and higher healthcare costs. Key barriers include limited disease understanding, psychological distress, treatment burden and socioeconomic constraints. Contemporary strategies adopt a patient-centred approach, integrating behaviour change techniques, tailored education programmes, psychosocial support and digital health solutions. Multidisciplinary collaboration among nephrologists, nurses, dietitians and mental health professionals is essential to personalise interventions, reinforce self-efficacy and address individual motivational factors. Globally, improving adherence has demonstrable benefits for patient outcomes and healthcare sustainability.
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Adherence Management in Hemodialysis Patients publication trend
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Technical terms
Behaviour Change Techniques: Structured methods (for example, goal setting or action planning) employed to modify health-related behaviours.
Interdialytic weight gain: Increase in body weight between dialysis sessions, reflecting fluid intake adherence.
Self-efficacy: Confidence in one’s ability to perform specific self-management tasks.
Telehealth: Use of telecommunications technology to deliver health services, education and support remotely.
Surrogate markers: Indirect measures (such as serum phosphate levels) used to assess adherence to treatment recommendations.
References
- Behavioral interventions targeting treatment adherence in chronic kidney disease: A systematic review and meta-analysis. Social Science & Medicine (2024).
- Can Telehealth Improve Access to Dietary Management in Patients Receiving Dialysis? Insights from Consumers. Nutrients (2023).
- Dietary knowledge-attitude-practice status in hemodialysis patients: a latent profile analysis. BMC Public Health (2024).
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