成人肾移植受者服药依从性的影响因素分析

许艳艳; 陈乾; 牛玉林; 丁蓓

doi:10.7619/jcmp.20242534

成人肾移植受者服药依从性的影响因素分析

Influencing factors of medication adherence among adult renal transplant recipients

摘要

摘要:
目的探讨肾移植受者服用免疫抑制药物的依从性的影响因素。
方法本研究采用便利抽样法选取2021年10月—2022年7月在贵州医科大学附属医院肾移植随访中心接受随访护理的377例肾移植受者作为研究对象，采用一般资料调查表、免疫抑制药物依从性Basel评估量表进行问卷调查分析。
结果本研究共纳入377例肾移植受者，其中男236例，女141例。总体依从性得分为(4.90±1.55)分，依从性欠佳。多因素Logistic回归分析显示，肾移植受者服用免疫抑制药物的依从性与婚姻状况、肾移植术后时间相关。
结论肾移植受者服用免疫抑制药物的依从性有待提升，婚姻状况、肾移植术后时间是肾移植受者服药依从性的主要影响因素。

Abstract:
Objective To investigate the influencing factors of medication adherence among renal transplant recipients taking immunosuppressive drugs.
Methods In this study, 377 kidney transplant recipients who received follow-up care in the kidney transplant follow-up center of the Affiliated Hospital of Guizhou Medical University from October 2021 to July 2022 was selected by convenience sampling method. General data questionnaire and Basel Assessment Scale of immunosuppressive drug compliance were used for questionnaire analysis.
Results A total of 377 renal transplant recipients were included in this study, including 236 males and 141 females. The overall adherence score was (4.90±1.55), indicating poor adherence. Multivariate Logistic regression analysis revealed that medication adherence among renal transplant recipients taking immunosuppressive drugs was correlated with marital status and postoperative time of renal transplantation.
Conclusion Medication adherence among renal transplant recipients taking immunosuppressive drugs needs to be improved, with marital status and postoperative time of renal transplantation being the primary influencing factors.

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