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评估肝移植受者的虚弱程度、合理使用药物以及对免疫抑制治疗的依从性。

Assessing Frailty, Rational Use of Medications, and Adherence to Immunosuppressive Therapy in Liver Transplant Recipients.

机构信息

Malatya Hekimhan State Hospital, Malatya, Turkey.

Department of Fundamentals of Nursing, Inonu University, Nursing Faculty, Malatya, Turkey.

出版信息

Transplant Proc. 2024 Oct;56(8):1784-1789. doi: 10.1016/j.transproceed.2024.08.041. Epub 2024 Sep 7.

Abstract

AIM

The study was conducted to determine the level of frailty, rational medication use, and adherence to immunosuppressive therapy in liver transplant patients and to examine the relationships among them.

MATERIALS AND METHODS

The data of the descriptive cross-sectional study were collected between January 2023 and September 2023. Our study included 200 liver transplant recipients. In addition to demographic and medical characteristics, frailty status, rational drug use, and compliance with immunosuppressive therapy were measured in a 15-20 minute questionnaire administration period.

RESULTS

The frailty scores of liver transplant patients were 2.11 ± 1.34, rational drug use scores were 82.88 ± 13.11, and compliance with immunosuppressive therapy scores were 11.12 ± 1.07. The scores for rational drug use and adherence to immunosuppressive therapy were not affected by frailty status, and patients used drugs rationally and adhered to immunosuppressive therapy even when they were frail. It was found that the vulnerability status of the participants was affected by gender and occupational variables, most patients were in the vulnerable group in women and men, and those who did not work were more vulnerable than the other groups.

CONCLUSION

It was found that liver transplant patients were frail, and frailty did not affect the level of rational drug use and compliance with immunosuppressive therapy.

摘要

目的

本研究旨在确定肝移植患者的衰弱程度、合理用药水平和免疫抑制治疗依从性,并探讨它们之间的关系。

材料和方法

本描述性横断面研究的数据于 2023 年 1 月至 9 月期间收集。我们的研究纳入了 200 名肝移植受者。除了人口统计学和医学特征外,还在 15-20 分钟的问卷管理期间测量了衰弱状态、合理用药和免疫抑制治疗的依从性。

结果

肝移植患者的衰弱评分为 2.11±1.34,合理用药评分 82.88±13.11,免疫抑制治疗依从性评分为 11.12±1.07。合理用药和免疫抑制治疗依从性评分不受衰弱状态的影响,即使患者衰弱,他们也能合理用药并坚持免疫抑制治疗。研究发现,参与者的脆弱状态受到性别和职业变量的影响,大多数女性和男性患者处于脆弱组,与其他组相比,未工作的患者更脆弱。

结论

研究发现肝移植患者衰弱,衰弱程度并不影响合理用药和免疫抑制治疗的依从性。

相似文献

2
Immunosuppressive Medication Adherence in Liver Transplant Recipients.肝移植受者的免疫抑制药物依从性
Transplant Proc. 2016 May;48(4):1198-201. doi: 10.1016/j.transproceed.2015.12.097.

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