Outpatient Dialysis

Neff, Martin S.

doi:10.1001/archinte.1973.00320110101015

Cited by 7 publications

(1 citation statement)

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“…Abuse of dietary (diet and fluid) restrictions can result in a buildup of toxic fluids and metabolic end products in the blood stream which may lead to cardiovascular problems, uremic symptomatology, and even death. However, despite the adverse consequences associated with poor compliance, there is substantial evidence of considerable abuse of dietary restrictions among hemodialysis patients (Retan and Lewis, 1965;Shea et al, 1965;Pendras and Erickson, 1966;Meldrum et al, 1968;Abram et aL, 1971;De-Nour and Czaczkes, 1972;Hickey, 1972;Neff et al, 1973;Borkman, 1976;Blackburn, 1977;Hartman and Becker, 1978).…”

Section: Introductionmentioning

confidence: 99%

Intervention strategies to improve compliance with medical regimens by ambulatory hemodialysis patients

et al. 1981

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This research examined the relative efficacies of three intervention strategies designed to increase compliance to medical regimens in a group of ambulatory hemodialysis patients. The interventions examined included behavioral contracting (with or without the involvement of a family member or friend) and weekly telephone contacts with patients. Compliance was assessed with regard to following dietary restrictions and limiting fluid intake. Data were collected from 116 patients drawn from two outpatient clinics. Within clinics, patients were randomly assigned either to an intervention program or to a control group. The study employed a pretest-posttest control group design. Patients were interviewed before the intervention programs began (T1), after a 6-week intervention period (T2), and 3 months after completion of the intervention period (T3). Results showed that the interventions achieved substantial reductions in patients' serum potassium levels and in weight gains between dialysis treatments between T1 and T2. In general, however, these program effects tapered off to preintervention levels between T2 and T3. The findings thus indicate a need for long-term intervention programs.

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