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本文引用的文献

1
Investigation of immunosuppressive treatment compliance, dyspnea, anxiety, and depression levels in lung transplant recipients: online interview.肺移植受者免疫抑制治疗依从性、呼吸困难、焦虑和抑郁水平的调查:在线访谈
Front Psychol. 2024 Oct 22;15:1378594. doi: 10.3389/fpsyg.2024.1378594. eCollection 2024.
2
The Burden of Gastrointestinal Complaints in Kidney Transplant Recipients Using Tacrolimus With and Without Mycophenolate Mofetil: A Randomized Controlled Study.使用他克莫司联合或不联合霉酚酸酯的肾移植受者胃肠道不适的负担:一项随机对照研究。
Front Nephrol. 2022 Jul 19;2:933954. doi: 10.3389/fneph.2022.933954. eCollection 2022.
3
The effect of adherence to immunosuppressant therapy on gastrointestinal complications after liver transplantation.肝移植后免疫抑制剂治疗依从性对胃肠道并发症的影响。
Transpl Immunol. 2022 Apr;71:101554. doi: 10.1016/j.trim.2022.101554. Epub 2022 Feb 19.
4
The effect of perceived social support on psychological resilience in liver transplant patients receiving immunosuppression therapy.感知到的社会支持对接受免疫抑制治疗的肝移植患者心理弹性的影响。
Transpl Immunol. 2021 Dec;69:101475. doi: 10.1016/j.trim.2021.101475. Epub 2021 Sep 30.
5
Complications of Lung Transplantation: Update on Imaging Manifestations and Management.肺移植并发症:影像表现与管理的最新进展
Radiol Cardiothorac Imaging. 2021 Aug 26;3(4):e190252. doi: 10.1148/ryct.2021190252. eCollection 2021 Aug.
6
The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-fifth adult lung and heart-lung transplant report-2018; Focus theme: Multiorgan Transplantation.国际心肺移植学会国际胸科器官移植登记处:2018年第35份成人肺和心肺移植报告;重点主题:多器官移植。
J Heart Lung Transplant. 2018 Oct;37(10):1169-1183. doi: 10.1016/j.healun.2018.07.020. Epub 2018 Aug 11.
7
Immunosuppression following organ transplantation. Part 2: complications and their management.器官移植后的免疫抑制。第2部分:并发症及其管理。
Br J Nurs. 2018 Oct 4;27(18):1059-1065. doi: 10.12968/bjon.2018.27.18.1059.
8
Immunosuppression following organ transplantation. Part 1: mechanisms and immunosuppressive agents.器官移植后的免疫抑制。第1部分:机制与免疫抑制剂。
Br J Nurs. 2018 Sep 6;27(16):920-927. doi: 10.12968/bjon.2018.27.16.920.
9
Contribution of Helicobacter pylori infection to the risk of peptic ulcer bleeding in patients on nonsteroidal anti-inflammatory drugs, antiplatelet agents, anticoagulants, corticosteroids and selective serotonin reuptake inhibitors.幽门螺杆菌感染对服用非甾体抗炎药、抗血小板药物、抗凝剂、皮质类固醇和选择性 5-羟色胺再摄取抑制剂的患者发生消化性溃疡出血的风险的影响。
Aliment Pharmacol Ther. 2018 Jun;47(11):1464-1471. doi: 10.1111/apt.14652. Epub 2018 Apr 14.
10
Economic impact of medication non-adherence by disease groups: a systematic review.按疾病分组的药物治疗不依从的经济影响:一项系统综述。
BMJ Open. 2018 Jan 21;8(1):e016982. doi: 10.1136/bmjopen-2017-016982.

肺移植受者长期药物治疗依从性及胃肠道症状的调查:一项横断面研究。

Investigation of lung transplant recipients' medical treatment compliance and gastrointestinal symptoms in the long term: A cross-sectional study.

作者信息

Vural Aski, Bulbuloglu Semra, Sevin Ruhi

机构信息

Department of Internal Medicine, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.

Nursing Department, Division of Surgical Nursing, Health Sciences Faculty, Istanbul Aydin University, Istanbul, Turkey.

出版信息

Medicine (Baltimore). 2025 Aug 8;104(32):e43901. doi: 10.1097/MD.0000000000043901.

DOI:10.1097/MD.0000000000043901
PMID:40797385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338242/
Abstract

This study aims to examine lung transplant recipients' adherence to the drug regimen, and gastrointestinal disorders that they suffered. The sample of this descriptive and cross-sectional research comprised 58 lung transplant recipients who were discharged from the hospital. In the data collection process, we used the socio-demographic and health-related characteristics information form, the immunosuppressant therapy adherence scale, the Morisky medication adherence scale, and the gastrointestinal symptom rating scale. In the data analysis, we utilized descriptive statistical methods, Mann Whitney U and Spearman correlation. The mean age of lung transplant recipients was 44.37 ± 9.18 years, and of all participant lung transplant recipients, 53.4% were female, 65.5% were struggling with comorbidities, 51.7% underwent lung transplantation >5 years ago, 17.2% were oxygen-dependent, 51.7% had coughs, 31% had dyspnea, and 29.3% had hypertension. All lung transplant recipients were using corticosteroids while 91.4% of them were using tacrolimus. We found statistically significant connections between the use of mycophenolate mofetil and constipation, between the use of tacrolimus and diarrhea, and between the use of amlodipine and gastroesophageal reflux in lung transplant recipients. Lung transplant recipients' adherence to immunosuppressants and other medications was above average. The medications used were associated with gastrointestinal symptoms. The findings of our study highlight that lung transplant recipients' in-home care and treatment needs continue.

摘要

本研究旨在调查肺移植受者对药物治疗方案的依从性以及他们所患的胃肠道疾病。这项描述性横断面研究的样本包括58名已出院的肺移植受者。在数据收集过程中,我们使用了社会人口学和健康相关特征信息表、免疫抑制剂治疗依从性量表、莫里isky药物依从性量表和胃肠道症状评定量表。在数据分析中,我们采用了描述性统计方法、曼-惠特尼U检验和斯皮尔曼相关性分析。肺移植受者的平均年龄为44.37±9.18岁,在所有参与研究的肺移植受者中,53.4%为女性,65.5%患有合并症,51.7%在5年多以前接受了肺移植,17.2%依赖氧气,51.7%有咳嗽症状,31%有呼吸困难症状,29.3%有高血压。所有肺移植受者都在使用皮质类固醇,其中91.4%在使用他克莫司。我们发现,在肺移植受者中,霉酚酸酯的使用与便秘之间、他克莫司的使用与腹泻之间、氨氯地平的使用与胃食管反流之间存在统计学上的显著关联。肺移植受者对免疫抑制剂和其他药物的依从性高于平均水平。所使用的药物与胃肠道症状有关。我们的研究结果表明,肺移植受者的家庭护理和治疗需求仍在持续。