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Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients

BACKGROUND: Kidney transplantation is the renal replacement therapy of choice for most patients with end-stage renal disease (ESRD), however, adherence to the recommended lifestyle is critical for a positive prognosis. The purpose of this study was to assess adherence to immunosuppressive therapy an...

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Autores principales: Hedayati, Pari, Shahgholian, Nahid, Ghadami, Ahmad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443003/
https://www.ncbi.nlm.nih.gov/pubmed/28584545
http://dx.doi.org/10.4103/ijnmr.IJNMR_220_15
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author Hedayati, Pari
Shahgholian, Nahid
Ghadami, Ahmad
author_facet Hedayati, Pari
Shahgholian, Nahid
Ghadami, Ahmad
author_sort Hedayati, Pari
collection PubMed
description BACKGROUND: Kidney transplantation is the renal replacement therapy of choice for most patients with end-stage renal disease (ESRD), however, adherence to the recommended lifestyle is critical for a positive prognosis. The purpose of this study was to assess adherence to immunosuppressive therapy and lifestyle recommendations along with some related factors among kidney transplant patients. MATERIALS AND METHODS: In this descriptive analytical study, all patients completed a questionnaire regarding medication intake and lifestyle recommendations (preventing of infection, self-monitoring, prevention of cardiovascular disease (CVD), and sun protection). The participants were divided into 4 groups according to the level of adherence (good, partial, poor, and nonadherent) indicated in their responses. RESULTS: Most kidney recipients were adherent to their drug prescriptions, but were partial, poor, or nonadherent regarding lifestyle recommendations. Increased passage of time since transplantation and low family support and educational level resulted in nonadherence. Men showed greater adherence to medication intake than women. Patients with lower number of drugs and reported drug side-effects illustrated better adherence to medication intake. Women adhered to infection protection recommendations more than men, and older and married patients adhered to cardiovascular prevention recommendations more than others. However, younger patients showed greater adherence to self-monitoring recommendations, and singles, young individuals, and women were adherent to sun protection recommendations. CONCLUSIONS: Nonadherence is common among kidney transplant recipients. Thus, it is necessary to determine patients who are at risk of nonadherence and to introduce more educational programs to improve their adherence and their quality of life (QOL).
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spelling pubmed-54430032017-06-05 Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients Hedayati, Pari Shahgholian, Nahid Ghadami, Ahmad Iran J Nurs Midwifery Res Original Article BACKGROUND: Kidney transplantation is the renal replacement therapy of choice for most patients with end-stage renal disease (ESRD), however, adherence to the recommended lifestyle is critical for a positive prognosis. The purpose of this study was to assess adherence to immunosuppressive therapy and lifestyle recommendations along with some related factors among kidney transplant patients. MATERIALS AND METHODS: In this descriptive analytical study, all patients completed a questionnaire regarding medication intake and lifestyle recommendations (preventing of infection, self-monitoring, prevention of cardiovascular disease (CVD), and sun protection). The participants were divided into 4 groups according to the level of adherence (good, partial, poor, and nonadherent) indicated in their responses. RESULTS: Most kidney recipients were adherent to their drug prescriptions, but were partial, poor, or nonadherent regarding lifestyle recommendations. Increased passage of time since transplantation and low family support and educational level resulted in nonadherence. Men showed greater adherence to medication intake than women. Patients with lower number of drugs and reported drug side-effects illustrated better adherence to medication intake. Women adhered to infection protection recommendations more than men, and older and married patients adhered to cardiovascular prevention recommendations more than others. However, younger patients showed greater adherence to self-monitoring recommendations, and singles, young individuals, and women were adherent to sun protection recommendations. CONCLUSIONS: Nonadherence is common among kidney transplant recipients. Thus, it is necessary to determine patients who are at risk of nonadherence and to introduce more educational programs to improve their adherence and their quality of life (QOL). Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5443003/ /pubmed/28584545 http://dx.doi.org/10.4103/ijnmr.IJNMR_220_15 Text en Copyright: © 2017 Iranian Journal of Nursing and Midwifery Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Hedayati, Pari
Shahgholian, Nahid
Ghadami, Ahmad
Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title_full Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title_fullStr Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title_full_unstemmed Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title_short Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients
title_sort nonadherence behaviors and some related factors in kidney transplant recipients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443003/
https://www.ncbi.nlm.nih.gov/pubmed/28584545
http://dx.doi.org/10.4103/ijnmr.IJNMR_220_15
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