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Low Adherence to Immunosuppressants Is Associated With Symptom Experience Among Kidney Transplant Recipients

DC Field Value Language
dc.contributor.author오의금-
dc.contributor.author추상희-
dc.contributor.author허규하-
dc.date.accessioned2018-03-26T16:57:33Z-
dc.date.available2018-03-26T16:57:33Z-
dc.date.issued2015-
dc.identifier.issn0041-1345-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/157006-
dc.description.abstractPURPOSE: The purpose of this study was to investigate the relationship between immunosuppressant-related symptom experience (SE) and adherence to immunosuppressant regimens among kidney transplant (KT) recipients. METHODS: A total of 239 KT recipients on an immunosuppressant regimen who were followed up after transplantation participated in this study. Data was collected through a self-reported questionnaire survey (medication adherence, SE, and quality of life) and medical record review. RESULTS: Low adherence in the immunosuppressant group was associated with longer time since KT, less comorbidity (<3), and a higher rehospitalization rate. Low adherence among KT recipients showed significantly greater overall symptom occurrence (P = .001) and symptom distress (P = .002) levels than patients with high or medium adherence after adjusting for a number of covariates. The most common symptom both in terms of occurrence (96.4%) and distress (91.1%) among poorly adherent KT recipients was tiredness. CONCLUSION: Low adherence to an immunosuppressant regimen was significantly associated with high SE among KT recipients. Strategies to decrease immunosuppressant-related SE are needed to improve adherence to immunosuppressants.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science Inc.-
dc.relation.isPartOfTRANSPLANTATION PROCEEDINGS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHFatigue/psychology-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHImmunosuppressive Agents/therapeutic use*-
dc.subject.MESHKidney Transplantation/psychology*-
dc.subject.MESHMale-
dc.subject.MESHMedication Adherence/statistics & numerical data*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/prevention & control-
dc.subject.MESHPostoperative Complications/psychology*-
dc.subject.MESHQuality of Life-
dc.subject.MESHSelf Report-
dc.subject.MESHTime Factors-
dc.subject.MESHTransplant Recipients/psychology*-
dc.titleLow Adherence to Immunosuppressants Is Associated With Symptom Experience Among Kidney Transplant Recipients-
dc.typeArticle-
dc.contributor.collegeCollege of Nursing-
dc.contributor.departmentDept. of Nursing-
dc.contributor.googleauthorS.Y. Lee-
dc.contributor.googleauthorS.H. Chu-
dc.contributor.googleauthorE.G. Oh-
dc.contributor.googleauthorK.H. Huh-
dc.identifier.doi10.1016/j.transproceed.2015.09.056-
dc.contributor.localIdA02393-
dc.contributor.localIdA04232-
dc.contributor.localIdA04344-
dc.relation.journalcodeJ02755-
dc.identifier.eissn1873-2623-
dc.identifier.pmid26680077-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0041134515009239-
dc.contributor.alternativeNameOh, Eui Geum-
dc.contributor.alternativeNameChoo, Sang Hee-
dc.contributor.alternativeNameHuh, Kyu Ha-
dc.contributor.affiliatedAuthorOh, Eui Geum-
dc.contributor.affiliatedAuthorChoo, Sang Hee-
dc.contributor.affiliatedAuthorHuh, Kyu Ha-
dc.citation.volume47-
dc.citation.number9-
dc.citation.startPage2707-
dc.citation.endPage2711-
dc.identifier.bibliographicCitationTRANSPLANTATION PROCEEDINGS, Vol.47(9) : 2707-2711, 2015-
dc.identifier.rimsid41315-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers

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