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Taraphder, Abhijit
- An Exploratory Study to Identify Factors Associated with Noncompliance of Medications and Recommended Lifestyle Behavior after Renal Transplantation - A Pilot Study
Authors
1 Woodlands College of Nursing, Kolkata, IN
2 Dept of Nephrology, I. P. G. M. E. R & S. S. K. M Hospital, Kolkata, IN
3 Dept of Medicine, I. P. G. M. E. R & S. S. K. M Hospital, Kolkata, IS
4 Dept of Pharmacology, I. P. G. M. E. R & S. S. K. M Hospital, Kolkata, IN
Source
International Journal of Nursing Education, Vol 6, No 1 (2014), Pagination: 73-77Abstract
Introduction: Noncompliance to prescribed therapy has been found to be common in chronic diseases. Therapeutic compliance not only includes patient compliance with medications but also with diet, exercise or lifestyle changes. Therapeutic noncompliance after renal transplantation is a major risk factor for acute rejection and graft loss. It is estimated that 1 in 10 deaths in transplant patients is due to medication noncompliance1-2
Material and Method: This exploratory longitudinal study was performed in tertiary care teaching and non-teaching hospitals in Kolkata. From 30 renal transplant patients data were collected through interview, records&existing laboratory report. To get self-report structured questionnaire for interview were prepared. For data collection clients were picked up from the period of pre-transplant work up and they were followed up for 1 month.
Results: The extent of noncompliance after renal transplantation is 16.67 (95%CI 3.33-30%). The reason for noncompliance is mainly forgetfulness and poor knowledge. This study also reveals that noncompliance is significantly associated with dialysis duration and waiting time for transplant.
Keywords
Renal Transplant Patient, Noncompliance, Factors Influencing Noncompliance- Is There an Association Between Medication Knowledge and Medication Compliance in Renal Transplant Recipients?
Authors
1 Govt College of Nursing, Burdwan, Aftab Avenue, P.O-Rajbati, Dist-Burdwan, W.B, Pin-713104, IN
2 Dept. of Nephrology, Apollo Gleneagles Hospital, Kankurgachi, Kolkata-700054, IN
3 Dept of Pharmacology, I.P.G.M.E.R and S.S.K.M Hospital, A.J.C. Bose Road, Kolkata-700020, IN
4 Dept of Medicine, K.P.C Medical College, 1F, Raja Subodh Chandra Mullick Road, Jadavpur, Kolkata 700032, West Bengal, IN
Source
Asian Journal of Nursing Education and Research, Vol 6, No 1 (2016), Pagination: 32-36Abstract
Introduction: It is well known that success of organ transplantation depends on medication compliance. Knowledge about the disease and prescribed medication can contribute to a better medication taking behavior and is associated with higher rates of compliance. The objective of this study was to investigate the association between medication knowledge and medication compliance among kidney transplant recipients.
Methods: The study was conducted with adult subjects attending the nephrology post-transplant clinic of a tertiary care government and two private hospitals in Kolkata. This was a longitudinal study that included 153subjects.
Results: Majority (71.23%) of the kidney recipients' medication knowledge were good or better. Medication knowledge score was significantly associated with compliance status of renal transplant recipients. There was no statistically significant association of age and education with medication compliance. The transplant recipients were quite young in age; their median age being 37 years with interquartile range 29-48 years.
Conclusions: So improving medication knowledge of renal transplant recipients could improve the medication compliance among adult renal transplant recipients.