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Published on: November 8, 2015
Medication adherence patterns in adult renal transplant recipients
Cynthia L Russell1, Vicki S Conn, Catherine Ashbaugh
1The John A. Hartford Foundation and Atlantic Philanthropies, Building Academic Geriatric Nursing Capacity, Fellow University of Missouri-Columbia, Sinclair School of Nursing S423, Columbia, Missouri 65211, USA.
Abstract:
Patient adherence to immunosuppressive medications adherence is crucial to survival of the patient and a transplanted kidney, yet adherence is variable. Using a prospective, descriptive design, immunosuppressive medication adherence of 44 renal transplant recipients was followed for 6 months at a Midwestern transplant center using electronic monitoring. Four medication adherence patterns emerged from a hierarchical cluster analysis: those who took medications on time, those who took medications on time with late/missed doses, those who rarely took medications on time and who were late with morning and/or evening doses, and those who missed doses. This study is a step toward developing and implementing interventions targeted to specific patterns of poor adherence.
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