Medication nonadherence after kidney transplantation: an internet-based survey in Japan
| Autor: | Sayaka Kobayashi, Katsuji Nishimura, Rie Akaho, Ishida Hideki, Sachi Okabe, Junko Tsutsui |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Medication Adherence 03 medical and health sciences 0302 clinical medicine Japan Internet based Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Risk factor Intensive care medicine Applied Psychology Kidney transplantation Dialysis Self-efficacy Internet business.industry Middle Aged medicine.disease Kidney Transplantation Self Efficacy Transplant Recipients 030227 psychiatry Transplantation Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Allograft rejection Medication Nonadherence Female business Immunosuppressive Agents |
| Zdroj: | Psychology, healthmedicine. 25(1) |
| ISSN: | 1465-3966 |
| Popis: | Nonadherence to immunosuppressive medications after kidney transplantation is a major risk factor for allograft rejection and graft loss. Transplant recipients tend to conceal nonadherence in clinical settings. We conducted an internet-based cross-sectional survey aimed to clarify the prevalence and risk factors of patient nonadherence after kidney transplantation in Japan. The Basel Assessment of Adherence to Immunosuppressive Medication Scale (BAASIS©) was used to detect nonadherence. In this survey, patients were asked about their relationship with medical staff and their self-efficacy for taking medication, along with other questions. A total of 219 kidney transplant recipients were included in the analysis. Ninety-four demonstrated nonadherence (42.7%). The following factors were associated with nonadherence: short dialysis period prior to transplantation; undergoing transplantation at least twice; male sex; lack of satisfaction with the explanation of immunosuppressive medication; and absence of medical staff to consult upon forgetting to take drugs. The nonadherence group reported low self-efficacy for medication in many settings. This anonymous survey provides valuable insight into the actual nonadherence rate, factors associated with nonadherence, and life situations that may complicate medication-taking. |
| Databáze: | OpenAIRE |
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