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Overcoming obstacles for adherence to phosphate binding medication in dialysis patients: a qualitative study
Centre for Research and Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala Science Park, Uppsala, Sweden.ORCID iD: 0000-0003-1289-9896
Department of Psycology, Uppsala University, Uppsala, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala Science Park, Uppsala, Sweden;.
2008 (English)In: Pharmacy World & Science, ISSN 0928-1231, E-ISSN 1573-739X, Vol. 30, no 5, p. 571-6Article in journal (Refereed) Published
Abstract [en]

Objective The aim of this study was to explore obstacles to adherence to phosphate binding medication and to describe the measures taken by dialysis patients to overcome these obstacles. Setting A Swedish renal unit. Method Ten patients undergoing dialysis were interviewed. The interviews were semi-structured and were analysed according to qualitative content analysis. Main outcome measure Statements about barriers and the ways to overcome these. Results Non user-friendly drug compound, feeling of discomfort, forgetfulness, polypharmacy and patient ignorance were identified as obstacles to adherence to phosphate binding medication. Measures taken by the patients to handle obstacles were identified as using a dispensing aid, consuming extra water and exercising routines. Conclusion Dialysis patients identify obstacles that impede patient adherence to prescribed phosphate binding medication. The patients overcame most obstacles by self-management but not always in concordance with treatment requirements. Our findings imply that the ways the patient conquer each barrier need to be considered when strategies for self-management are promoted.

Place, publisher, year, edition, pages
2008. Vol. 30, no 5, p. 571-6
Keyword [en]
adherence; dialysis; end-stage kidney disease; medication therapy management; patient compliance; phosphate-binding medication; qualitative research; Sweden
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-5333DOI: 10.1007/s11096-008-9212-9ISI: 000259443000012PubMedID: 18368511OAI: oai:DiVA.org:hig-5333DiVA, id: diva2:234308
Available from: 2009-09-07 Created: 2009-09-07 Last updated: 2018-03-13Bibliographically approved

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Lindberg, Magnus

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CiteExportLink to record
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Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf