Immunosuppressive Medication Adherence Among Kidney Transplant Recipients: A Qualitative Exploration of Patient...

Kidney transplant is a life -saving treatment for patients with end -stage renal failure. However, lifelong adherence to immunosuppressive medication is essential to prevent graft rejection. Despite its importance, nonadherence remains a common issue among transplant recipients, particularly in varying cultural and regional contexts. This study, which used a qualitative descriptive design, aimed to explore the factors affecting adherence to immunosuppressive medication among kidney transplant recipients in the Mediterranean region of Türkiye through a qualitative approach.

This study included 21 kidney transplant recipients through snowball sampling who were using immunosuppressive drugs. Data were collected through semi -structured in -depth interviews. The interviews were analyzed using thematic content analysis to identify key categories, themes, and sub -themes related to medication adherence behavior.

Four main categories emerged from the data: individual factors, social support, health system -related factors, and psychological aspects. Themes included knowledge and awareness about medications, emotional responses to drug use, quality of communication with health care providers, and the presence or absence of social support. Subthemes such as fear of organ loss, forgetfulness, family encouragement, and depressive symptoms were also identified. Participant narratives reflected how personal beliefs, emotional burden, and systemic support played a crucial role in adherence behavior.

This study highlighted the multifaceted nature of medication adherence in kidney transplant recipients. Findings underscored the need for individualized education, psychosocial support, and stronger patient -provider communication to enhance long -term adherence. Incorporating culturally sensitive strategies within follow -up care may contribute to more successful transplant outcomes.