Compliance, adherence, and self-management: is a paradigm shift possible for chronic kidney disease clients?

Full Abstract

Exploring the concepts of compliance, adherence, and self-management in people living with chronic kidney disease (CKD) is imperative. The literature indicates that compliance and adherence behaviours are poorly understood within the renal client population. Preliminary research on self-management suggests that when practitioners include the patients' beliefs, values, and concerns into the recommended treatment regimen, CKD client outcomes improved. Nursing professionals need to shift their practice to incorporate self-management strategies. Examining the theoretical foundation of self-management as well as qualitative and quantitative research findings will provide nurses with innovative directions to enhance client care and suggest future research on individuals diagnosed with CKD.

Learn Faster Today Improve your study skills

Author information

Author/s: Costantini, Lucia (L);

Affiliation: Ryerson University. lcostant(-atsign-)hotmail.com

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Review

Journal: CANNT journal = Journal ACITN (CANNT J), published in Canada. (Language: eng)

Reference: -2006 Oct-Dec; vol 16 (issue 4) : pp 22-6

Dates: Created 2007/01/26; Completed 2007/03/13; Revised 2007/11/15;

PMID: 17252897, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Kidney Failure, Chronic - nursing; therapy
Patient Compliance - psychology
Patient Education as Topic

Renal Dialysis - nursing
Renal Insufficiency, Chronic - nursing; therapy
Self Care - psychology
Self Efficacy

These are the highest related articles currently in the database:

Thirst distress and interdialytic weight gain: how do they relate? 29 Jun 2004
Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies. 29 Jun 2005
Stressors and coping methods among chronic haemodialysis patients in Hong Kong. 29 Jun 2001
Health care management strategies of long-term dialysis survivors. 30 Jul 2001
Patterns of interdialytic weight gain during the first year of hemodialysis. 30 Aug 2006
Living on dialysis: concerns of clients in a renal setting. 30 Dec 2002
The utility of cognitive behavioural therapy on chronic haemodialysis patients' fluid intake: a preliminary examination. 29 Apr 2003
Renal care: six essentials for a haemodialysis patient. 29 Apr 2007
Group intervention to improve quality of life in haemodialysis patients. 30 Oct 2007
Adherence in patients on dialysis: strategies for success. 30 Aug 2007

See 100+ related articles.