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Adherence to treatment in chronic kidney disease: associations with therapeutic modalities and coping capacity

Adesão ao tratamento na doença renal crônica: associações com as modalidades terapêuticas e capacidade de enfrentamento

Abstract

Objective

Chronic kidney disease treatment requires renal replacement therapy, with two possibilities - hemodialysis or peritoneal dialysis. Due to physical and psychosocial stressors, adherence to treatment becomes a challenge. Coping strategies play a mediating role between patients, health, and the disease. This study aimed to identify potential associations between the level of adherence to dialysis treatment, therapeutic modalities, and types of coping used.

Method

A quantitative study was conducted with a non-probabilistic sample of 233 patients who responded to four instruments, analyzed through descriptive and inferential statistics.

Results

Were observed higher levels of adherence in attitudes towards social restrictions in peritoneal dialysis patients, and that both groups use different coping strategies. There are associations between confrontational and supportive coping and therapeutic adherence.

Conclusion

Subjects on peritoneal dialysis have a better attitude towards therapeutic adherence, highlighting the need for greater investment in this treatment.

Keywords
Adaptation, psychological; Renal insufficiency, chronic; Treatment adherence and compliance

Programa de Pós-Graduação em Psicologia, Pontifícia Universidade Católica de Campinas Núcleo de Editoração SBI - Campus II, Av. John Boyd Dunlop, s/n. Prédio de Odontologia, 13060-900 Campinas - São Paulo Brasil, Tel./Fax: +55 19 3343-7223 - Campinas - SP - Brazil
E-mail: psychologicalstudies@puc-campinas.edu.br