Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Mar-Apr;22(2):97-101.
doi: 10.4103/ijnmr.IJNMR_220_15.

Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients

Pari Hedayati  1 , Nahid Shahgholian  2 , Ahmad Ghadami  3
Affiliations

Nonadherence Behaviors and Some Related Factors in Kidney Transplant Recipients

Pari Hedayati et al. Iran J Nurs Midwifery Res. 2017 Mar-Apr.

Abstract

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).

Keywords: Adherence; Iran; Kidney transplantation nursing.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Namdar A, Beigizadeh SH, Najafipour S. Health-related quality of life in dialysis patients. J Jahrom Univ Med Sci. 2013;10:16–24.
    1. Tayyebi A, Raiesifar A, Najafi Mehri S, Ebadi A, Einolahi B, Pashandi SH. Measuring Health Related Quality of Life (Hrqol) in Renal Transplant Patients: Psychometric Properties and Cross-Cultural Adaptation of Kidney Transplant Questionnaire (Ktq-25) in Persian. Nephrourol Mon. 2012;4:617–21. - PMC - PubMed
    1. Tabatabai SA, Hashemi SM, Zandi M. Frequency distribution of long time complications of renal transplantation in Alzahra hospital. J Isfahan Med School. 2011;28:1–10.
    1. Germani G, Lazzaro S, Gnoato F, Senzolo M, Borella V, Rupolo G, et al. Nonadherent behaviors after solid organ transplantation. Transplant proc. 2011;43:318–23. - PubMed
    1. Green M. Introduction: Infections in solid organ transplantation. Am J Transplant. 2013;13:3–8. - PubMed