Nephrology

Statement of the Problem: Non-communicable chronic diseases are responsible for about 60% of the causes of death worldwide and Chronic Kidney Disease (CKD) affects an estimated 14% of adults in sub-Saharan Africa, with lowers levels of therapeutic adherence. At present, non-adherence is the main cause for increased morbidity and mortality, reducing the quality of life, increasing health costs, and for overutilization of health services. Regardless of disease, treatment, and prognosis, many patients do not continue with their treatment when they return home or do not fully comply with it. The purpose of this study is to describe the relevance of communication in the therapeutic adherence of CKD patients. Methodology & Theoretical Orientation: A literature review was conducted, the therapeutic adherence models were considered and the model of Levy's cognitive hypothesis of adhesion was a reference. Findings: Therapeutic adherence can be predicted through a combination of client satisfaction with the appointment, understanding of the disease’s cause, extension and treatment, and the ability to remember information provided by health professionals. It is possible to improve adherence if the communication between patients and health professionals is also improved with a clear, simple and true message. In order to increase therapeutic adherence, health professionals should establish a relationship with the patient and the family caregiver through active listening, respect and empathic relationship. Thus, effective communication between health professionals and CKD patients is fundamental to encourage them to therapeutic adherence.