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Hemodiyaliz hastalarında tedaviye uyum: çok yönlü bir yaklaşım

Adherence to treatment in hemodialysis patients: a multiple-aspect approach

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2007

Key Words:

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Abstract (2. Language): 
Hemodialysis is the most commonly used method to treat end stage renal disease. In this treatment method, restricted fluid intake and diet, dependence on a machine and changes in lifestyle may affect the patient. Patients may therefore have difficulty in adherence to treatment. Providing adherence to treatment in hemodialysis patients is a significant problem in terms of health status and quality of life. Rates of 50% or higher have been reported in not to adhere to treatment in hemodialysis patients. Handling the factors affecting adherence to treatment for the patients may provide better health outcomes increasing the efficiency of treatment. Removal of factors inhibiting adherence to treatment using a patient-centered approach, and use of ongoing education and cognitive-behavioral strategies may increase adherence. In this review, adherence to treatment and factors affecting adherence in hemodialysis patients are reviewed, and suggestions on this topic are discussed.
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Abstract (Original Language): 
Hemodiyaliz, son dönem böbrek yetmezliğini tedavi etmek için kullanılan en yaygın yöntemdir. Bu tedavi yönteminde sıvı alımı ve yiyeceklerin kısıtlanması, makineye bağımlı olma ve yaşam şeklinde değişiklikler hastayı etkileyebilmektedir. Bu nedenle, hastalar tedaviye uyumda zorlanabilmektedirler. Günümüzde hemodiyaliz hastalarında tedaviye uyumun sağlanması, sağlık durumu ve yaşam kalitesi açısından önemli bir sorundur. Hemodiyaliz hastalarında tedaviye uyumsuzluğun %50 veya daha yüksek oranlarda olduğu bildirilmektedir. Hastaların tedaviye uyumunu etkileyen faktörlerin ele alınması, tedavinin etkinliğini artırarak daha iyi sağlık sonuçlarına ulaşmayı sağlayabilir. Hasta merkezli bir yaklaşımla tedaviye uyumu engelleyen faktörlerin ortadan kaldırılması, sürekli eğitim ve bilişsel-davranışsal stratejilerin kullanılması uyumu artırabilir. Bu derlemede, hemodiyaliz hastalarında tedaviye uyum ve etkileyen faktörler gözden geçirilmiş ve bu konudaki öneriler ele alınmıştır.
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  • 2
132-136
  • Turkish

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