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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.

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。

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本文引用的文献

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