[Possibilities and limits of compliance modification in chronic hemodialysis patients]

After the introduction of a number of measures concerning care of patients and changes in the therapy regimen (systematic preparation for dialysis treatment, intensive supply of information and active involvement of the patients in their treatment, nursing, rearrangement of the dialysis rooms, carrying out of dialysis in an armchair etc.) dietary errors in the form of excessive weight increase between dialyses have been observed significantly less often. Parallel to this, the frequency of hypertonia has been reduced. the aim of therapy is to arouse in the patient a consciously responsible and active attitude to his treatment. By reducing inconveniences in treatment and in the social environment, it is possible to make chronic haemodialysis patients more cooperative and make it easier for them to get used to the new way of life. The limiting factor for the improvement of compliance is however the patient's personality.