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2014, Number 4

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Evid Med Invest Salud 2014; 7 (4)

Sociodemographic and psychosocial factors associated with postrenal transplant medication adherence in adult patients

Mena-Nájera A, Barragán-Fuentes AG, Gómez-de-Regil L

Language: Spanish
References: 34
Page: 162-168
PDF size: 301.09 Kb.


ABSTRACT

Introduction: Treatment adherence reflects the patient’s understanding, agreement and commitment to follow therapeutic indications, being and important predictor of a successful transplant. Objective: Learning about the main sociodemographic and psychosocial factors associated to medication adherence in adult patients with a renal transplant. Method: Through the CONRICyT electronic database a literature search was performed using keywords in English and Spanish to find relevant papers published between 2004 and 2014. Results: A final total of 28 papers were reviewed, most of them reporting studies performed in America, mainly in the United States. Among the sociodemographic factors associated to non-adherence were: young age, male, longer time since transplant, and full-time employment. Among the main psychosocial factors were: social support, perception of control on illness/treatment, depression, stress, and coping style. Discussion: Taking into consideration the patient’s sociodemographic and psychosocial profile would facilitate the identification of those in risk of poor adherence to and/or abandonment of treatment that might lead to graft failure or the person’s death. Studying treatment adherence appears as a fruitful area for both research and clinical practice. Research on this area becomes a necessary task to be performed in our country and institutions in order to gather relevant information for the treatment and prompt intervention with our transplanted patients.


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