Assessment instruments for treatment adherence in hemodialysis: a scoping review
DOI:
https://doi.org/10.37914/riis.v9i1.506Keywords:
renal dialysis, treatment adherence and compliance, surveys and questionnaires, chronic renal insufficiencyAbstract
Background: scientific evidence reveals the existence of factors that negatively impact adherence to hemodialysis (HD) treatment among patients with chronic kidney disease (CKD). Therefore, identifying these factors using validated instruments is essential. Objective: to map scientific evidence regarding assessment instruments for treatment adherence in HD among individuals with CKD. Methodology: a scoping review was conducted following the methodology proposed by the Joanna Briggs Institute. The PCC framework (Population, Concept, and Context) was applied: included studies published in Portuguese, English, or Spanish, without time limitation, encompassing individuals aged 18 years or older with chronic kidney disease undergoing hemodialysis treatment and involving instruments for assessing HD treatment adherence. Results: fifteen studies were included. Results were reported according to the PRISMA Extension for Scoping Reviews (PRISMA-SCR) guidelines. Seven instruments assessing were identified, addressing dimensions such as commitment to hemodialysis treatment, medication regimen, and fluid and dietary regimens. Conclusion: the study mapped the assessment instruments for HD treatment adherence among individuals with CKD. These instruments help identify factors that act as barriers and/or facilitators to adherence, supporting the implementation of targeted strategies to promote adherence and reduce associated morbidity and mortality. The study's limitations included selection bias.
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Copyright (c) 2026 Catarina Pinto, Leonor Sousa, Luana Pinho, Rodrigo Castro , Simão Miranda, Sara Costa
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