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[Factors that influence treatment adherence in chronic disease patients undergoing hemodialysis]
Cláudia Regina Maldaner1, Margrid Beuter, Cecília Maria Brondani
1Hospital Universitário de Santa Maria (HUSM) da Universidade Federal de Santa Maria (UFSM), Rio Grande do Sul, Brasil. claumaldaner@yahoo.com.br
Insights
Understanding factors influencing treatment adherence in chronic disease patients, particularly those on hemodialysis, is crucial. Nurses can improve health education by considering patient trust, support systems, and treatment complexity.
Area of Science:
- Nephrology
- Chronic Disease Management
- Health Education
Context:
- Patients undergoing hemodialysis often face challenges with treatment adherence.
- Nurses play a vital role in promoting health education for improved adherence.
- Low treatment adherence in chronic diseases impacts patient outcomes and healthcare systems.
Purpose:
- To identify key factors influencing treatment adherence in chronic disease patients.
- To explore the support nurses need for effective health education in hemodialysis.
- To provide insights for healthcare professionals managing patients with low treatment adherence.
Summary:
- Bibliographical research identified nine factors affecting treatment adherence: team trust, support networks, education level, disease acceptance, side effects, medication access, treatment duration, complexity, and symptom presence.
- These factors significantly influence whether patients with chronic conditions adhere to their prescribed treatments.
- The study highlights the need for a comprehensive approach considering patient-specific and systemic factors.
Impact:
- Nurses should integrate these identified factors into their practice to support chronic disease patients.
- Enhancing health education strategies based on these factors can improve patient adherence.
- Multidisciplinary and family support are essential for successful treatment adherence in chronic disease management.
Abstract:
The following bibliographical research wanted to identify the main factors that influence adherence to treatment in chronic disease. The study focused on patients undergoing hemodialysis, as well as on the support nurses require for the promotion of health education among individuals with low treatment adherence. The identification of bibliographical sources was conducted at Health Virtual Library and Scientific Electronic Library Online (SciELO) data bases. Some printed magazines were also used. The results indicated nine factors influencing treatment adherence or non-adherence: team trust, support nets, educational level; accepting disease, treatment side effects, lack of access to medicines, long-term treatment, complex therapeutic approach, and lack of symptoms. It is advisable that nurses take into account these factors when dealing with chronic-disease patients that present low treatment adherence, getting family and multidisciplinary team support seeking treatment adherence.
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