Adherence to the treatment and nursing in view of individuals receiving hemodialysis treatment

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Demir G., Efil S.

2.International Antalya Scientific Research and Innovative Studies Congress, Antalya, Turkey, 17 - 21 March 2022, pp.292-298

  • Publication Type: Conference Paper / Full Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.292-298
  • Çanakkale Onsekiz Mart University Affiliated: Yes



Nowadays, chronic renal failure is a global health issue with a high load of morbidity and mortality. The most common kidney substitution treatment used in recent times in our country for curing renal failure is hemodialysis. Hemodialysis treatment is planned according to the renal functions of the individual, the dietary regime (potassium, sodium, phosphorus, protein) and the amount of liquid taken in the diet. Adherence to the diet, the liquid restrictions and the medication is important with regard to how the disease progresses in individuals who receive hemodialysis treatment. A high level of adherence to treatment helps with the management of symptoms, prevents the development of complications and improves the quality of life. Optimizing patient adherence to dialysis sessions and dialysis-related treatments is essential to achieving such targets. Individuals who receive hemodialysis treatment have to fight against many problems and changes during their life besides the health issues. This challenging process can make it even more difficult to adherence to the dietary recommendations, liquid restrictions and medication. Non-adherence is a common and serious problem among patients with chronic kidney disease. The inability of adherence to the treatment can lead to critical risks such as increased cardiovascular morbidity and acute pulmonary edema. These undesirable occurrences significantly increase the risk of hospitalization and mortality. Adherence to the treatment is a must in order to manage these circumstances that pose risk on health. Nurses play a key role in alleviating the burden created by chronic diseases, ensuring the management of disease and improving the quality of life. In that context, the reiew discusses in view of current literature the nursing approaches with regard to the process of adherence to the treatment experienced by hemodialysis patients.

Keywords: chronic kidney failure, hemodialysis, adherence to treatment, nurse.