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Motivators of adherence to integrated management among patients with chronic kidney disease: A qualitative study

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  • Geldine Chironda
  • Busisiwe Rosemary Bhengu

Abstract

The integrated management of chronic kidney disease (CKD) demands significant changes, as patients need to adhere to dialysis, medication, and dietary and fluid restrictions. Therefore, there is a need to identify the motivators of adherence to improve the quality of life of these patients. The aim of the present study was to explore the motivators of adherence to integrated management among patients with CKD in South Africa. A phenomenological design was used. A sample size of 12 participants was selected according to data saturation. The purposive sampling method was used to select the participants. Data were collected with the help of a semistructured interview schedule developed from the literature. A thematic framework analysis was conducted to identify the motivators of adherence to integrated management; these were found to be family support, anxiety about eligibility for kidney transplant, support of other patients, awareness of complications associated with non‐adherence to integrated management, and fear of being removed from the CKD program. Identified motivators could be used to develop specific interventions that address or foster adherence behavior as a requirement for integrated management.

Suggested Citation

  • Geldine Chironda & Busisiwe Rosemary Bhengu, 2019. "Motivators of adherence to integrated management among patients with chronic kidney disease: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(1), pages 63-70, March.
    • Handle: RePEc:wly:nuhsci:v:21:y:2019:i:1:p:63-70
    DOI: 10.1111/nhs.12556
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    References listed on IDEAS

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    1. Lissete González Oquendo & José Miguel Morales Asencio & Candela Bonill de las Nieves, 2017. "Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 3893-3905, December.
    2. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    3. Leting Isabella Hong & Wenru Wang & Ee Yuee Chan & Fatimah Mohamed & Hui‐Chen Chen, 2017. "Dietary and fluid restriction perceptions of patients undergoing haemodialysis: an exploratory study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3664-3676, November.
    4. Max van Manen & Isabel Higgins & Pamela van der Riet, 2016. "A conversation with Max van Manen on phenomenology in its original sense," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 4-7, March.
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    1. Cesilia Charles & Baraka Moshi & Kajiru Kilonzo & Florida Muro, 2024. "Adherence to Dialysis Therapy and Associated Factors Among Insured Patients with End Stage Renal Disease Attending Dialysis Centers in Northern Zone of Tanzania," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(6), pages 157-170, June.
    2. Mi Young Chon & Eun Ja Yeun & Kyoung Hee Jung & Young‐il Jo & Kyeong Ryong Lee, 2020. "Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(1), pages 108-117, March.

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