Factores asociados a la adherencia al tratamiento en personas en hemodiálisis.

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Title: Factores asociados a la adherencia al tratamiento en personas en hemodiálisis.
Alternate Title: Factors associated with treatment adherence in people on haemodialysis.
Authors: Cantillo-Medina, Claudia Patricia1 claudiacantillo1@hotmail.com, Perdomo-Romero, Alix Yaneth1, Ramírez-Perdomo, Claudia Andrea1
Source: Enfermería Nefrológica. abr-jun2025, Vol. 28 Issue 2, p132-146. 15p.
Subjects: TREATMENT of chronic kidney failure, HEMODIALYSIS patients, PATIENT compliance, EDUCATION, MENTAL health, CINAHL database, HEMODIALYSIS, FAMILY relations, TEACHING methods, SYSTEMATIC reviews, MEDLINE, PSYCHOLOGY, ECONOMIC impact, COMMUNICATION, ONLINE information services, SOCIAL support, PSYCHOSOCIAL factors
Abstract (English): Introduction: Treatment adherence in haemodialysis patients is a crucial aspect for improving clinical outcomes and quality of life. Objectives: To identify the factors associated with treatment adherence in people on haemodialysis. Material and Method: A scoping review was conducted. The search protocol was developed in the SciElo, PubMed, Scopus, ScienceDirect, EBSCO, and Cinahl databases, using the Boolean operators "AND," "OR," "NOT," relating the DeCSMeSH search terms: "Treatment Adherence and Compliance" AND "Kidney Diseases" AND "Renal Dialysis." Results: The review identified 36 articles, most from 2014, with 6 developed in Spain, 5 in Brazil and Iran, 4 in the United States, 3 in Indonesia and China, 2 in Australia and India, 1 in Colombia, Korea, Canada, Mexico, United Kingdom, and Turkey. Written in English, Spanish, and Portuguese. Adherence is influenced by biopsychosocial, economic, demographic, clinical, and psychological factors. Studies highlight the importance of education, economic stability, family relationships, mental health, medical team support, and educational strategies. Conclusions: The complexity of treatment adherence in haemodialysis patients and the need for a comprehensive approach addressing multiple aspects are revealed. The importance of personalised educational programmes, socioeconomic support, effective communication with healthcare professionals, and personalised strategies to improve adherence is emphasised. These findings have important implications for designing interventions that improve quality of life and clinical outcomes in this population. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La adherencia al tratamiento en pacientes en hemodiálisis es un aspecto crucial para mejorar los resultados clínicos y la calidad de vida. Objetivos: Identificar los factores asociados a la adherencia al tratamiento en personas en hemodiálisis. Material y Método: Se realizó una revisión de alcance, el protocolo de búsqueda se desarrolló en las bases de datos SciElo, Pubmed, Scopus, Science direct, EBSCO y Cinahl, con los operadores booleanos "AND", "OR", "NOT", relacionando los términos de búsqueda DeCS-MeSH, "Treatment Adherence and Compliance" AND "Kidney Diseases" AND "Renal Dialysis". Resultados: La revisión identificó 36 artículos, la mayoría del 2014, desarrollados 6 en España, 5 en Brasil e Irán, 4 en Estados Unidos, 3 en Indonesia y China, 2 Australia e India, 1 en Colombia, Corea, Canadá, México, Reino Unido, Turquía. Escritos en inglés, español, y portugués. La adherencia es influenciada por factores biopsicosociales, económicos, demográficos, clínicos y psicológicos. Los estudios destacan la importancia de la educación, la estabilidad económica, la relación familiar, la salud mental, el apoyo del equipo médico y las estrategias educativas. Conclusiones: Se revela la complejidad de la adherencia al tratamiento en pacientes en hemodiálisis y la necesidad de un enfoque integral que aborde múltiples aspectos. Se subraya la importancia de programas educativos personalizados, el apoyo socioeconómico, una comunicación efectiva con los profesionales de la salud y estrategias personalizadas para mejorar la adherencia. Estos hallazgos tienen implicaciones importantes para el diseño de intervenciones que mejoren la calidad de vida y los resultados clínicos en esta población. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Introduction: Treatment adherence in haemodialysis patients is a crucial aspect for improving clinical outcomes and quality of life. Objectives: To identify the factors associated with treatment adherence in people on haemodialysis. Material and Method: A scoping review was conducted. The search protocol was developed in the SciElo, PubMed, Scopus, ScienceDirect, EBSCO, and Cinahl databases, using the Boolean operators "AND," "OR," "NOT," relating the DeCSMeSH search terms: "Treatment Adherence and Compliance" AND "Kidney Diseases" AND "Renal Dialysis." Results: The review identified 36 articles, most from 2014, with 6 developed in Spain, 5 in Brazil and Iran, 4 in the United States, 3 in Indonesia and China, 2 in Australia and India, 1 in Colombia, Korea, Canada, Mexico, United Kingdom, and Turkey. Written in English, Spanish, and Portuguese. Adherence is influenced by biopsychosocial, economic, demographic, clinical, and psychological factors. Studies highlight the importance of education, economic stability, family relationships, mental health, medical team support, and educational strategies. Conclusions: The complexity of treatment adherence in haemodialysis patients and the need for a comprehensive approach addressing multiple aspects are revealed. The importance of personalised educational programmes, socioeconomic support, effective communication with healthcare professionals, and personalised strategies to improve adherence is emphasised. These findings have important implications for designing interventions that improve quality of life and clinical outcomes in this population. [ABSTRACT FROM AUTHOR]
ISSN:22542884
DOI:10.37551/S2254-28842025016