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Title: Factors influencing patients' compliance to medication therapy after renal transplant
Authors: Farrugia, Zvetlana M.
Keywords: Kidneys -- Transplantation -- Malta
Kidneys -- Diseases -- Malta
Chronic renal failure -- Malta
Organ donors -- Malta
Issue Date: 2008
Citation: Farrugia, Z. M. (2008). Factors influencing patients' compliance to medication therapy after renal transplant (Bachelor's dissertation).
Abstract: This study aimed to determine if renal transplant patients act in accordance with prescribed medication after a renal transplant. The objectives of the study were to explore the clients' level of compliance to medicational therapy, determine what factors hinder their compliance to medications and to explore what type of support they view promotes compliance. The literature search gave a sustainable amount of literature on compliance. In this non-experimental survey study, a structured interview was used to collect necessary data. Twelve patients attending the Medical Out-Patient clinic were chosen conveniently and included in the study. A 100% response rate was obtained. Results revealed the extent of compliance among renal transplant patients and what factors hindered or promoted their compliance. Study findings showed that patients perceived the number of medications and taking medication at one time, as the main barriers for their compliance behaviour. An overall mean score of 21 in the ITBS (Immunosuppressant Therapy Barrier Scale) shows that patients are compliant to medicational therapy. Medicational side effects were factors that patients identified as a prominent barrier to compliance behaviour. Although experiencing side effects they still complied with medications as the majority of patients were aware that medications were necessary to prevent kidney graft rejection episodes. On the other hand patients identified that the family, doctor's prescription paper, use of pill bottles, taking medications with them when going out, rechecking medications with empty package and preparing medications for 24 hours are factors which helped them to comply with medications. Recommendations include the need to identify patients who are likely to be non compliant and device a method to address their barriers to compliance behaviour. It is also recommended to carry out a longitudinal study to compare Maltese patients' compliance rate to renal graft survival.
Description: B.SC.(HONS)NURSING
Appears in Collections:Dissertations - FacHSc - 2008
Dissertations - FacHScNur - 2008

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