Medical & Clinical Reviews

Contributing Factors to Non-Adherence among Chronic Kidney Disease (CKD) Patients: A Systematic Review of Literature

Background: Non-adherence to comprehensive management of Chronic Kidney Disease (CKD) remains a significant barrier to effective management of the population. Interventions to improve adherence need to target the contributing factors to enhance the quality of life.

Objective: To highlight the factors contributing to non-adherence in CKD patients.

Methods: Articles were identified from online data bases namely Medline, PubMed, Cinahl, Google scholar and Grey literature. A comprehensive search was done to identify articles which highlight the factors contributing to non-adherence in CKD patients. The following words were used for this search: Adherence & non-adherence, factors contributing to non-adherence to dialysis, medication, diet and fluid, CKD patients. 96 of them were identified.

Results: Six categories of factors contributing to nonadherence were identified. These were patient related, socioeconomic factors, psychological factors, therapy related factors, pathophysiological related factors and health care system related factors.

Conclusion: Non adherence remains a major obstacle in the effective management of CKD population. There is need for collaborative approach to devise measures that eliminate relevant contributing factors to non-adherence in CKD patients.

Author(s):

Geldine Chironda and Busisiwe Bhengu

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