Compliance, peritoneal dialysis and chronic kidney disease : lessons from the literature

McCarthy, Alexandra L., Shaban, Ramon Z., & Fairweather, Carrie (2010) Compliance, peritoneal dialysis and chronic kidney disease : lessons from the literature. Renal Society of Australasia Journal, 6(2), pp. 55-66.

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Poor patient compliance with peritoneal dialysis (PD) has significant adverse effects on morbidity and mortality rates in individuals with chronic kidney disease (CKD). It also adds to the resource burdens of healthcare services and providers. This paper explores the notion of PD compliance in patients with CKD with reference to the relevant published literature. The analysis of the literature reveals that ‘PD compliance’ is a complex and challenging construct for both patients and health professionals. There is no universal definition of compliance that is widely adopted in practice and research, and therefore a lack of consensus on how to determine ‘compliant’ patient outcomes. There are also multiple and interconnected determinants of PD compliance that are context-bound, which healthcare professionals must be aware of, and which makes producing consensus of measuring PD compliance difficult. The complexity of the interventions required to produce even a modest improvement in PD compliance, which are described in this paper, are significant. Compliance with PD and other treatments for CKD is a multidimensional, context-bound concept, that to date has tended to efface the role and needs of the renal patient. We conclude the paper with the implications for contemporary practice.

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ID Code: 38366
Item Type: Journal Article
Refereed: Yes
Additional Information: Published version can be accessed free of charged from the Society website. See Official URL link.
Additional URLs:
Keywords: Compliance, adherence, peritoneal dialysis, chronic kidney disease
ISSN: 1832-3804
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 Renal Society of Australasia
Deposited On: 14 Nov 2010 22:04
Last Modified: 29 Feb 2012 14:23

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