Open AccessContext Matters: A Qualitative Synthesis of Adherence Literature for People on Hemodialysis
Author(s) -
Kathryn S. Taylor,
Ebele M. Umeukeje,
Sydney R. Santos,
Katherine C. McNabb,
Deidra C. Crews,
Melissa Hladek
Publication year - 2022
Publication title -
kidney360
Language(s) - English
Resource type - Journals
ISSN - 2641-7650
DOI - 10.34067/kid.0005582022
Subject(s) - cinahl , psychological intervention , qualitative research , medicine , context (archaeology) , hemodialysis , thematic analysis , medline , family medicine , intensive care medicine , nursing , psychiatry , political science , sociology , biology , paleontology , social science , law
Patients with ESKD treated with hemodialysis in the United States have persistently higher rates of nonadherence compared with patients in other developed countries. Nonadherence is associated with an increased risk of death and higher medical expenditure. There is an urgent need to address it with feasible, effective interventions as the prevalence of patients on hemodialysis in the United States continues to grow. However, published adherence interventions demonstrate limited long-term efficacy.