Compliance Behavior and Long-Term Maintenance Dialysis

OʼBrien, Mary Elizabeth

doi:10.1016/s0272-6386(12)80764-5

Cited by 78 publications

(62 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ritual or passive compliance is a relatively inflexible behavior, in which the patient follows the prescribed regimen strictly without any modifications. However, reasoned or active compliance migh have some flexibility to accommodate the individual's day-to-day circumstances [16]. The predictors of such behaviors have not settled, but patients with the reasoned compliance behavior can learn 'to manipulate the system'.…”

Section: Discussionmentioning

confidence: 99%

“…In a 9-year study, O'Brien observed a decrease in compliance of many individuals in a re-interview performed 3 years after the first interview. This finding was attributed to the decrease in ritual compliance and initiating a reasoned compliance; however, it might bring the danger of handling the system beyond the acceptable boundaries of active treatment compliance [16]. The unanticipated control of biochemical indices might uncover the deviation in behavioral patterns of compliance in HD patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Arıcı

Altun²,

Usalan³

et al. 1998

Blood Purif

View full text Add to dashboard Cite

Compliance with the prescribed medical regimen is a critical factor for the continued well-being of hemodialysis patients. As compliance is a multifactorial problem, numerous approaches have been utilized to quantify the compliance of hemodialysis patients. In the present study, we have attempted to examine whether unanticipated control of biochemical indices might predict the compliance status of hemodialysis patients. We compared unanticipated mid-month values of blood urea nitrogen (BUN), serum potassium (K) and phosphate (PO₄) values of 54 maintenance hemodialysis patients with the scheduled, regular first-week measurements during a 6-month study period. The interdialytic weight gain (IWG) levels of the corresponding weeks were also compared. Mid-month analysis revealed a significant deviation in the compliance status of the study population as BUN, serum K and IWGs were concerned (p < 0.05). The mid-month serum PO₄ levels were also higher but the difference was not significant (p < 0.05). In conclusion, the differences observed in biochemical indices upon change of test request timing were distinctive. It suggests that unanticipated control of biochemical indices might contribute to the actual assessment of compliance in hemodialysis patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Arıcı

Altun²,

Usalan³

et al. 1998

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Different ap proaches have been used to quantify the compliance of ESRF patients with these restrictions. These have included questionnaires answered by staff and patients [1,2], and blood tests [3,4). Interdialytic weight gain (WG) has been used as an index o f compliance for fluid intake, serum potassium (K) for dietary intake and serum phosphate (P 0 4) for medication intake [5],…”

Section: Introductionmentioning

confidence: 99%

Compliance in Hemodialysis Patients: A Multivariate Regression Analysis

Morduchowicz

Sulkes

Aizic

et al. 1993

Nephron

View full text Add to dashboard Cite

Successful treatment of patients with end-stage renal failure requires, in addition to dialysis, strict control of dietary, fluid and medication intake. In the present study we measured, in 50 chronic hemodialysis patients, serum potassium (K), serum phosphate (PO₄) and interdialytic weight gain as indices of diet, medication and fluid compliance, respectively. Dietary compliance did not correlate with fluid or medication compliance, whereas fluid intake and medication compliance were related (p = 0.01). Age, time on dialysis, place of birth and whether the patient came accompanied or not to the dialysis unit were the main variables affecting serum K levels. Sex, ethnic origin and education significantly affected serum PO₄. Sex, place of birth, marital status, number of children and years of education affected fluid intake. The compliance of the hemodialysis patient with different aspects of his regimen is thus multifactorial. Attempts to improve compliance and thus reduce morbidity and mortality should be aimed at identifying the population with low compliance and exposing them to educational programs.

show abstract

“…Lower or higher weight loss leads to an increased mortality [5]. O'Brien reported that the survival rate of hemodialysis patients was higher in patients who did not comply with instructions concerning water consumption than in patients who complied with such instructions [6]. Ithas also been reported after long term follow up that the general condition of patients tended to be better in patients who received reatively lenient diet control (equivalent to a weight gain during two sessions of hemodialysis of 2.5Kg or more) than in patients who received strict dietary control (weight gain less than 1Kg) [7].…”

Section: Resultsmentioning

confidence: 99%

Relationship in Interdialytic Weight Gain between Indices of Optimal Dialysis and Nutritional Parameters in chronic hemodialysis patients.

Isami

Nakamura

Muramatu

et al. 1997

The Journal of Kansai Medical University

View full text Add to dashboard Cite

SUMMARYAdvances in the hemodialysis therapy have been made recent years. It is, however, still important for chronic hemodialysis patients to control the diet and water intake. So, in 76 patients who had been on chronic hemodialysis for more than one year, we analyzed absolute weight gain (gain during the two-day interval between two sessions of hemodialysis) and percentage of weight gain [(absolute weight gain/dry weight) X 100] in relation to normalized dialysis urea clearance (Kt/V), time averaged concentration of blood urea nitrogen (TACBUN) and protein catabolic rate (PCR), and also in relation to protein , energy, salt and potassium intake.PCR had a significant correlation with both the absolute weight gain ( r = 0.329, P<0.01) and the percentage of weight gain ( r = 0.349, P<0.01). Protein, energy, salt and potassium intake also correlated significantly with bothparameters. These results suggest that weight gain is closely rlated to the amount of food intake like water intake.Dry weight (DW) correlated significantly with absolute weight gain ( r =0.392, P(0.0005), while it did not correlate significantly with percentage of weight gain. This suggests that patients with large DW tend to be inappropriately restricted as to their water intake to counter weight gain acthually caused by excessive food ingestion, and that patients with small DW tend to be erroneously subjected to an excessively limited diet for the purpose of suppressing weight gain.

show abstract

Compliance Behavior and Long-Term Maintenance Dialysis

Cited by 78 publications

References 5 publications

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Compliance in Hemodialysis Patients: A Multivariate Regression Analysis

Relationship in Interdialytic Weight Gain between Indices of Optimal Dialysis and Nutritional Parameters in chronic hemodialysis patients.

Contact Info

Product

Resources

About