Background and Purpose Dialysis involves a complex regimen including diet, fluid, medication, and treatment. Therapeutic regimen adherence determines the therapeutic success, quality of life, and survival of patients on dialysis. Complying with fluid management is the most difficult among the therapeutic regimen. Several theory-based interventions have been designed to promote fluid intake compliance in patients receiving dialysis. This review has two aims. One is to explore the effectiveness of theory-based interventions. The other is to examine the extent of the combination of theory and interventions in improving adherence to fluid intake among dialysis patients. Methods A literature review was performed using PubMed, PsycINFO, Embase, Web of Science, and the Cochrane Library to acquire associated studies. Data were extracted independently by two researchers. The degree of theory application was accessed using a theory coding scheme (TCS). Results Eight studies were identified as eligible for inclusion, and five theories were cited as basis (health belief model, social cognitive theory, self-regulation model, transtheoretical model). According to the TCS, adherence outcomes and the extent of theory use were not optimal. Implications for Practice Combining theory with patient health education might be beneficial in improving fluid intake adherence of dialysis patients. The framework and TCS could be considered to guide theory utilization and promote nursing education in improving the quality of renal nursing care.

中文翻译：

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基于理论的干预措施可在透析患者中​​促进液体摄入的依从性：系统评价。

背景和目的透析涉及复杂的治疗方案，包括饮食，液体，药物和治疗。坚持治疗方案决定了透析患者的治疗成功率，生活质量和生存率。在治疗方案中，遵守液体管理是最困难的。已经设计了几种基于理论的干预措施，以提高接受透析的患者的体液摄入量。这篇综述有两个目的。一种是探索基于理论的干预措施的有效性。另一个是研究理论和干预措施相结合的程度，以改善透析患者对液体摄入的依从性。方法使用PubMed，PsycINFO，Embase，Web of Science和Cochrane图书馆进行文献综述，以获取相关研究。数据由两名研究人员独立提取。使用理论编码方案（TCS）访问理论应用程度。结果确定了8项研究符合纳入条件，并引用了5种理论作为基础（健康信念模型，社会认知理论，自我调节模型，跨理论模型）。根据TCS，坚持结果和理论运用的程度不是最佳的。实践的意义将理论与患者健康教育相结合可能对改善透析患者的液体摄入依从性有益。可以考虑采用该框架和TCS指导理论应用并促进护理教育，以提高肾脏护理质量。结果确定了8项研究符合纳入条件，并引用了5种理论作为基础（健康信念模型，社会认知理论，自我调节模型，跨理论模型）。根据TCS，坚持结果和理论运用的程度不是最佳的。实践的意义将理论与患者健康教育相结合可能对改善透析患者的液体摄入依从性有益。可以考虑采用该框架和TCS指导理论应用并促进护理教育，以提高肾脏护理质量。结果确定了8项研究符合纳入条件，并引用了5种理论作为基础（健康信念模型，社会认知理论，自我调节模型，跨理论模型）。根据TCS，坚持结果和理论运用的程度不是最佳的。实践的意义将理论与患者健康教育相结合可能对改善透析患者的液体摄入依从性有益。可以考虑采用该框架和TCS指导理论应用并促进护理教育，以提高肾脏护理质量。实践的意义将理论与患者健康教育相结合可能对改善透析患者的液体摄入依从性有益。可以考虑采用该框架和TCS指导理论应用并促进护理教育，以提高肾脏护理质量。实践的意义将理论与患者健康教育相结合可能对改善透析患者的液体摄入依从性有益。可以考虑采用该框架和TCS指导理论应用并促进护理教育，以提高肾脏护理质量。