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

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Title Compliance, peritoneal dialysis and chronic kidney disease: lessons from the literature
Author McCarthy, Alexandra; Shaban, Ramon Zenel; Fairweather, Carrie
Journal Name Renal Society of Australasian Journal
Editor Paul Bennett
Year Published 2010
Place of publication Australia
Publisher Renal Society of Australasia
Abstract Poor patient compliance with peritoneal dialysis (PD) has signifi cant 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 defi nition 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 diffi cult. The complexity of the interventions required to produce even a modest improvement in PD compliance, which are described in this paper, are signifi cant. 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.
Peer Reviewed Yes
Published Yes
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Copyright Statement Copyright 2010 Renal Society of Australasia. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 6
Issue Number 2
Page from 55
Page to 66
ISSN 1832-3804
Date Accessioned 2010-10-08
Language en_AU
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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