Wolcott D L, Maida C A, Diamond R, Nissenson A R
Am J Nephrol. 1986;6(5):329-38. doi: 10.1159/000167186.
This paper reviews the current knowledge concerning treatment compliance in patients with end-stage renal disease (ESRD). Adult hemodialysis patient noncompliance with the treatment regimen is very common. Objective and subjective measures of compliance, however, are often weakly correlated. In addition, the patients may be compliant with some aspects of the treatment regimen, but noncompliant with others. Unfortunately, no current model of predicting the degree of hemodialysis patient compliance is very accurate. In spite of this, behavioral approaches to increase regimen compliance do have at least short-term efficacy. There is a paucity of published data on compliance in adult peritoneal dialysis patients and an almost complete absence of systematic studies of compliance in children and adolescent dialysis patients. A multidimensional nosology of compliance behavior in ESRD patients is, therefore, proposed, as well as an approach to the diagnosis of noncompliance in ESRD patients and to possible interventions.
本文综述了目前关于终末期肾病（ESRD）患者治疗依从性的相关知识。成年血液透析患者不遵守治疗方案的情况非常普遍。然而，依从性的客观和主观测量结果往往相关性较弱。此外，患者可能在治疗方案的某些方面依从，但在其他方面不依从。不幸的是，目前尚无非常准确的预测血液透析患者依从程度的模型。尽管如此，提高治疗方案依从性的行为方法至少具有短期疗效。关于成年腹膜透析患者依从性的已发表数据较少，而对于儿童和青少年透析患者依从性的系统性研究几乎完全缺失。因此，本文提出了ESRD患者依从行为的多维分类法，以及ESRD患者不依从的诊断方法和可能的干预措施。
