Russell Cynthia L, Kilburn Erin, Conn Vicki S, Libbus M Kay, Ashbaugh Catherine
University of Missouri-Columbia, Sinclair School of Nursing, 65212, USA.
Clin Nurse Spec. 2003 Jul;17(4):200-8; quiz 209-30. doi: 10.1097/00002800-200307000-00018.
To describe the medication-taking beliefs of younger and older adult renal transplant recipients.
A descriptive design was used to study 16 adult renal transplant recipients, 8 older and 8 younger, recruited from a renal transplant program in the midwest. A semistructured interview was conducted based on the theory of planned behavior. Data were examined using manifest content analyses.
Both groups had similar behavioral, normative, control, and problem-solving medication-taking beliefs. Planning ahead, organizing, using cues, involving a support person, and remembering the donor and life on dialysis were key control beliefs. Differences were found in beliefs regarding difficulties with taking immunosuppressive medications. The majority in both groups mentioned forgetting to take their immunosuppressive medications on at least one occasion. CONCLUSIONS/APPLICATION: As empiric evidence in this area grows, the clinical nurse specialist is paramount in assisting both younger and older renal transplant recipients with immunosuppressive medication taking and, consequently, in fostering better outcomes.
描述年轻和老年成人肾移植受者的服药信念。
采用描述性设计，对从美国中西部一个肾移植项目招募的16名成年肾移植受者进行研究，其中8名年龄较大，8名年龄较小。基于计划行为理论进行半结构化访谈。使用显性内容分析法对数据进行检查。
两组在行为、规范、控制和解决问题的服药信念方面相似。提前规划、组织、利用提示、让支持人员参与以及记住供体和透析生活是关键的控制信念。在服用免疫抑制药物的困难信念方面存在差异。两组中的大多数人都提到至少有一次忘记服用免疫抑制药物。结论/应用：随着该领域实证证据的增加，临床护理专家在协助年轻和老年肾移植受者服用免疫抑制药物以及因此促进更好的结果方面至关重要。
