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Overcoming obstacles for adherence to phosphate binding medication in dialysis patients: a qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Research and Development, Gävleborg.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2008 (English)In: Pharmacy World & Science, ISSN 0928-1231, E-ISSN 1573-739X, Vol. 30, no 5, 571-6 p.Article 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, 571-6 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-16603DOI: 10.1007/s11096-008-9212-9ISI: 000259443000012PubMedID: 18368511OAI: oai:DiVA.org:uu-16603DiVA: diva2:44374
Available from: 2008-05-29 Created: 2008-05-29 Last updated: 2017-12-08Bibliographically approved

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