Treatment Adherence of Patients with Chronic Kidney Disease: an Integrative Literature Review
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Treatment Adherence of Patients with Chronic Kidney Disease: an Integrative Literature Review Adherencia al tratamiento de pacientes con enfermedad renal crónica: una revisión integradora de la literatura Adesão ao tratamento de pacientes com doença renal crônica: uma revisão integrativa da literatura Georgia Maria Melo Feijão 1
& Cynthia
de Freitas Melo 2
# Associação Brasileira de Psicologia 2020
Abstract Chronic kidney disease is a serious health problem worldwide and the adherence to treatment is fraught with difficulty and needs to be understood. The objective of this study is to analyze the scientific production on the main factors that influence treatment adherence of patients with chronic kidney disease undergoing hemodialysis or peritoneal dialysis. An integrative literature review was performed, selecting articles published in Portuguese, English, and Spanish, between 2007 and 2017, from the Scielo, Regional Portal of the Virtual Health Library and PubMed databases. Through four combinations of descriptors and booleans, 1181 files were found. After applying the exclusion criteria, 20 articles remained. Most of the studies were in English and were empirical, cross-sectional, quantitative, and in the area of medical sciences. They indicate different modalities that determine adherence (diet therapy, pharmacology, and therapy) and various biosociodemographic factors (age, gender, education, cognition, knowledge about treatment, socioeconomic status, access to transport and treatment, pain, and faith) and psychosocial factors (quality of life, well-being, mental health, personality, and social and family support). It is concluded that the factors that strengthen, as well as impede, patients’ treatment adherence should be recognized to guide decision-making regarding the patient’s unique therapeutic planning.
* Cynthia de Freitas Melo [email protected]
1
Faculty Luciano Feijão, Sobral, Brazil
2
University of Fortaleza, Fortaleza, Ceará, Brazil
Trends in Psychology
Resumen La enfermedad renal crónica es un problema de salud grave en todo el mundo, cuya adherencia al tratamiento es difícil y debe entenderse. El objetivo es analizar la producción científica sobre los principales factores que influyen en la adherencia al tratamiento de pacientes en hemodiálisis o diálisis peritoneal. Se realizó una revisión integral de la literatura, seleccionando artículos publicados en portugués, inglés y español, entre 2007 y 2017, en las bases de datos Scielo, BVS y PubMed, encontrando 1.181 archivos. Después de aplicar los criterios de exclusión, se analizaron 20 artículos Predominaron los estudios en inglés, empírico, transversal, cuantitativo y en el área de las ciencias médicas. Señalan diferentes modalidades de adherencia (terapia de dieta, farmacología y terapia) y varios factores biosociodemográficos y psicosocial que determinan. Se concluye que los factores que potencian y limitan la adherencia al tratamiento de pacientes renales crónicos deben reconocerse para guiar la toma de decisiones con respecto a
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