Compliance, normality and the patient on peritoneal dialysis

McCarthy, Alexandra L., Shaban, Ramon, Boys, Jennifer, & Winch, Sarah (2010) Compliance, normality and the patient on peritoneal dialysis. Nephrology Nursing Journal, 37(3), pp. 243-250.

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Monitoring and enhancing patient compliance with peritoneal dialysis (PD) is a recurring and problematic theme in the renal literature. A growing body of literature also argues that a failure to understand the patient's perspective of compliance may be contributing to these problems. The aim of this study was to understand the concept of compliance with PD from the patient's perspective. Using the case study approach recommended by Stake (1995), five patients on PD consented to in-depth interviews that explored the meaning of compliance in the context of PD treatment and lifestyle regimens recommended by health professionals. Participants also discussed factors that influenced their choices to follow, disregard, or refine these regimens. Results indicate that health professionals acting in alignment with individual patient needs and wishes, and demonstrating an awareness of the constraints under which patients operate and the strengths they bring to their treatment, may be the most significant issues to consider with respect to definitions of PD compliance and the development of related compliance interventions. Aspects of compliance that promoted relative normality were also important to the participants in this study and tended to result in greater concordance with health professionals' advice.

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6 citations in Scopus
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ID Code: 38035
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: peritoneal dialysis, Nephrology
ISSN: 1526-744X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 American Nephrology Nurses’ Association (ANNA)
Deposited On: 21 Oct 2010 04:17
Last Modified: 21 Mar 2012 16:09

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