Mosley T H, Eisen A R, Bruce B K, Brantley P J, Cocke T B
University of Mississippi Medical Center.
J Behav Ther Exp Psychiatry. 1993 Mar;24(1):77-81. doi: 10.1016/0005-7916(93)90012-l.
Two approaches, (a) patient education and (b) compliance-contingent social reinforcement, were employed to improve compliance with fluid restrictions in a chronically noncompliant hemodialysis patient of borderline intellectual functioning. Results indicated that only social reinforcement led to improved compliance (i.e., decreased intersession weight gain). Treatment effects were well maintained at both 3- and 6-month follow-ups. Contingency management strategies are recommended as a potentially cost effective treatment for noncompliance in hemodialysis patients.
采用了两种方法，（a）患者教育和（b）依从性相关的社会强化，以提高一名边缘智力功能的慢性不依从性血液透析患者对液体限制的依从性。结果表明，只有社会强化导致依从性提高（即减少透析间期体重增加）。在3个月和6个月的随访中，治疗效果均得到良好维持。建议采用应急管理策略作为治疗血液透析患者不依从性的一种潜在的成本效益高的方法。
