Overcoming obstacles for adherence to phosphate binding medication in dialysis patients: a qualitative study.

作者: Magnus Lindberg , Per Lindberg

DOI: 10.1007/S11096-008-9212-9

关键词:

摘要: Objective The aim of this study was to explore obstacles adherence phosphate binding medication and describe the measures taken by dialysis patients overcome these obstacles. Setting A Swedish renal unit. Method Ten undergoing were interviewed. interviews semi-structured analysed according qualitative content analysis. Main outcome measure Statements about barriers ways these. Results Non user-friendly drug compound, feeling discomfort, forgetfulness, polypharmacy patient ignorance identified as medication. Measures handle using a dispensing aid, consuming extra water exercising routines. Conclusion Dialysis identify that impede prescribed overcame most self-management but not always in concordance with treatment requirements. Our findings imply conquer each barrier need be considered when strategies for are promoted.

参考文章(15)
William F. Finn, Phosphorus management in end-stage renal disease. Seminars in Dialysis. ,vol. 18, pp. 8- 12 ,(2005) , 10.1111/J.1525-139X.2005.18116.X
Deborah J. Cleary, Gary R. Matzke, Alicia C. M. Alexander, Melanie S. Joy, Medication knowledge and compliance among patients receiving long-term dialysis. American Journal of Health-system Pharmacy. ,vol. 52, pp. 1895- 1900 ,(1995) , 10.1093/AJHP/52.17.1895
Antonio BELLASI, Laura KOOIENGA, Geoffrey A. BLOCK, Phosphate binders: New products and challenges Hemodialysis International. ,vol. 10, pp. 225- 234 ,(2006) , 10.1111/J.1542-4758.2006.00100.X
Ami J. Claxton, Joyce Cramer, Courtney Pierce, A systematic review of the associations between dose regimens and medication compliance Clinical Therapeutics. ,vol. 23, pp. 1296- 1310 ,(2001) , 10.1016/S0149-2918(01)80109-0
JE Leggat, SM Orzol, TE Hulbert-Shearon, TA Golper, CA Jones, PJ Held, FK Port, Noncompliance in hemodialysis: Predictors and survival analysis American Journal of Kidney Diseases. ,vol. 32, pp. 139- 145 ,(1998) , 10.1053/AJKD.1998.V32.PM9669435
Patricia Painter, Physical functioning in end-stage renal disease patients: update 2005. Hemodialysis International. ,vol. 9, pp. 218- 235 ,(2005) , 10.1111/J.1492-7535.2005.01136.X
Magnus Lindberg, Per Lindberg, Björn Wikström, Medication discrepancy: A concordance problem between dialysis patients and caregivers Scandinavian Journal of Urology and Nephrology. ,vol. 41, pp. 546- 552 ,(2007) , 10.1080/00365590701421363
Kate R. Lorig, Halsted R. Holman, Self-management education: history, definition, outcomes, and mechanisms. Annals of Behavioral Medicine. ,vol. 26, pp. 1- 7 ,(2003) , 10.1207/S15324796ABM2601_01
H. J. Manley, C. G. Garvin, D. K. Drayer, G. M. Reid, W. L. Bender, T. K. Neufeld, S. Hebbar, R. S. Muther, Medication prescribing patterns in ambulatory haemodialysis patients: comparisons of USRDS to a large not-for-profit dialysis provider Nephrology Dialysis Transplantation. ,vol. 19, pp. 1842- 1848 ,(2004) , 10.1093/NDT/GFH280