必要性-关注框架在调查中国肝移植受者免疫抑制药物依从性和信念中的应用

Hong-Xia Liu , Sha Teng , Xiao-Hong Lin , Ya-Bin Shang , Lu Wang , Jing Zhang , Yun-Jin Zang
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引用次数: 7

摘要

目的探讨肝移植受者在必要性-关注点框架(NCF)下对免疫抑制药物的依从性和信念。方法对肝移植术后至少3个月的受者进行横断面研究。为了方便起见,我们招募了243名接受者作为样本。自我报告的药物依从性采用巴塞尔免疫抑制药物依从性评估量表(basasis)进行测量。NCF采用药物信念问卷(BMQ)对服用免疫抑制药物的必要性和顾虑进行评估。结果肝移植受者无粘附性145例(59.67%)。与坚持者相比,非坚持者对服用免疫抑制药物的必要性的信念较低,对必要性的关注得分低于坚持者。结论肝移植受者不依从是常见的。非信徒持有与信徒不同的信仰。努力提高依从性应该针对药物的信念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The application of the necessity-concerns framework in investigating adherence and beliefs about immunosuppressive medication among Chinese liver transplant recipients

Objective

This study aimed to explore adherence to and beliefs about immunosuppressive medication using the Necessity-Concerns Framework (NCF) in liver transplant recipients.

Methods

A cross-sectional study performed in recipients who were at least 3 months post liver transplantation. A convenience sample of 243 recipients was recruited. Self-reported medication adherence was measured by the Basel Assessment of Adherence with Immunosuppressive Medication Scale (BAASIS). The NCF was operationalized using the Beliefs about Medication Questionnaire (BMQ) to assess the beliefs about necessity and concerns with taking immunosuppressive medication.

Results

One-hundred-forty-five liver transplant recipients were non-adherent (59.67%). Compared to adherers, non-adherers had lower beliefs regarding the necessity of taking immunosuppressive medication and lower scores on the necessity-concerns different from adherers.

Conclusions

Non-adherence is common in liver transplant recipients. Non-adherers hold beliefs that are different from adherers. Efforts to increase adherence should be made by targeting medication beliefs.

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