Grefberg N
EDTNA ERCA J. 1998 Jan-Mar;24(1):27-8.
Patient compliance is an issue sadly neglected in the literature. Out of 470 scientific papers concerning dialysis published in 1996 only 4 (< 1%) addressed the subject. Doctors have an important role in the process leading to patient adherence, as they often see the patient on an outpatient basis for years before the start of dialysis and have an opportunity to prepare the patients for the forthcoming demands. Studies have shown that patients not seeing a Nephrologist before start of dialysis have a higher mortality and morbidity rate. The doctor has also an important role when informing the patient about the consequences of non-compliance. The aim should be to make the patient feel that he or she is a valuable member of the caring team.
患者依从性是文献中可悲地被忽视的一个问题。在1996年发表的470篇关于透析的科学论文中，只有4篇（不到1%）涉及该主题。医生在促使患者坚持治疗的过程中发挥着重要作用，因为在透析开始前的数年里，他们经常在门诊看诊患者，有机会让患者为即将到来的要求做好准备。研究表明，在开始透析前未看过肾病科医生的患者死亡率和发病率更高。在告知患者不依从的后果时，医生也起着重要作用。目标应该是让患者觉得自己是护理团队中有价值的一员。
