The Application of Acceptance and Commitment Therapy with Hemodialysis Treatment Adherence: A Case Study

Abstract

Individuals diagnosed with end-stage renal disease (ESRD) who choose hemodialysis as their renal replacement therapy normally receive treatment 3 times a week in an outpatient facility. Adjusting to this life-sustaining treatment regimen involves creating a new way of life that challenges the patient’s coping mechanisms. Adherence to the hemodialysis prescription is a major problem among people who have ESRD and significantly impacts their treatment outcomes and mortality rates. This study attempts to explore the use of acceptance and commitment therapy as a possible intervention for nonadherence to hemodialysis.