COMPLIANCE BEHAVIOR AND LONG-TERM MAINTENANCE DIALYSIS

被引:56
作者
OBRIEN, ME
机构
[1] Catholic University of America, School of Nursing, Washington, District of Columbia
关键词
Maintenance dialysis; patient compliance;
D O I
10.1016/S0272-6386(12)80764-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Compliance with the therapeutic regimen is a critical and frequently confusing concept both for chronic renal failure patients and for care-givers. A panel group of maintenance dialysis patients was followed over a period of 9 years to identify the variables associated with positive or negative compliance behavior. Individual patient changes in adherence to the therapeutic regimen over time were also examined. Significant differences related to social support, especially when the demographic variable of education was controlled, were found. Serendipitous and surprising results were also documented when compliance behavior was evaluated in relation to patient mortality. From the analysis of quantitative and qualitative data, a typology of “ritual” versus “reasoned” compliance was derived. © 1990, National Kidney Foundation, Inc.. All rights reserved.
引用
收藏
页码:209 / 214
页数:6
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