Não adesão medicamentosa nos pacientes transplantados cardíacos

Poltronieri, Nadja Van Geen; Moreira, Rita Simone Lopes; Schirmer, Janine; Roza, Bartira de Aguiar

doi:10.1590/s1980-220x2019009203644

Cited by 12 publications

(11 citation statements)

References 23 publications

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“…Recent findings focusing on cost-related medication non-adherence also show that some financial barriers may relate to patient-level factors rather than healthcare system-level factors, i.e., whether “health insurance covers the cost of IS” or “monthly out-of-pocket expenses for IS [are manageable]” [ 51 , 76 , 94 ]. Examples of patient-level factors include attempts to “make prescriptions last longer” or “delay IS medication refills,” and relate closely to how patients prefer to allocate funds [ 15 , 76 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Patient-Level Correlates of Intentional Non-Adherence to Immunosuppressive Medication After Heart-Transplantation—Findings From the International BRIGHT Study

Marston

Berben

Dobbels³

et al. 2023

Transpl Int

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After heart transplantation (HTx), non-adherence to immunosuppressants (IS) is associated with poor outcomes; however, intentional non-adherence (INA) is poorly understood regarding its international variability in prevalence, contributing factors and impact on outcomes. We investigated (1) the prevalence and international variability of INA, (2) patient-level correlates of INA, and (3) relation of INA with clinical outcomes. Secondary analysis of data from the BRIGHT study—an international multi-center, cross-sectional survey examining multi-level factors of adherence in 1,397 adult HTx recipients. INA during the implementation phase, i.e., drug holiday and dose alteration, was measured using the Basel Assessment of Adherence to Immunosuppressive Medications Scale© (BAASIS©). Descriptive and inferential analysis was performed with data retrieved through patient interview, patient self-report and in clinical records. INA prevalence was 3.3% (n = 46/1,397)—drug holidays: 1.7% (n = 24); dose alteration: 1.4% (n = 20); both: 0.1% (n = 2). University-level education (OR = 2.46, CI = 1.04–5.83), insurance not covering IS costs (OR = 2.21, CI = 1.01–4.87) and barriers (OR = 4.90, CI = 2.73–8.80) were significantly associated with INA; however, clinical outcomes were not. Compared to other single-center studies, this sample’s INA prevalence was low. More than accessibility or financial concerns, our analyses identified patient-level barriers as INA drivers. Addressing patients’ IS-related barriers, should decrease INA.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Patient-Level Correlates of Intentional Non-Adherence to Immunosuppressive Medication After Heart-Transplantation—Findings From the International BRIGHT Study

Marston

Berben

Dobbels³

et al. 2023

Transpl Int

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“…Therefore, strategies to ensure medication adherence, such as monitoring and educational actions by health professionals, help from other people to take the medication, the use of mobile digital technologies, sound alerts, among others, shall be applied ( 30 ) . In the sample studied, 33.3% reported needing help from other people to take the medication at least once a day, which may have contributed to the high number of adherent participants ( 10 , 14 ) .…”

Section: Discussionmentioning

confidence: 99%

Factors related to patient adherence to the use of new oral anticoagulants

Lima

Gonçalves

Rodrigues

et al. 2022

Rev. esc. enferm. USP

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Objective: To characterize the self-reported adherence of patients with cardiovascular diseases to the use of new oral anticoagulants and to identify factors related to adherence to these drugs. Method: This is a descriptive, correlational, and cross-sectional study, carried out with outpatients. The collection of sociodemographic, clinical, and adherence data, through the Measurement of Adherence to Treatments, was made through telephone calls. Descriptive, correlation, and multiple linear regression analyses were used. Results: A total of 120 patients using new anticoagulants for 32.3 months, on average, participated in the study. More than half of the sample consisted of women, who were professionally inactive, with a mean age of 70.1 years and a mean family income of 6.7 minimum wages. The mean adherence score was 5.7, in a possible range between 1 and 6, indicating medication adherence. Inactive employment status, female sex, higher family income, and follow-up at a public outpatient clinic were related to greater adherence to these medications. Conclusion: The patients showed high adherence to new anticoagulants. Employment status, sex, family income, and type of outpatient follow-up were related to medication adherence, and should be considered in the design of interventions for this public.

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“…3,4,9 Además de estas acciones educativas, el enfermero actúa en la planificación de la asistencia clínica, que incluyó el plan de intervenciones de enfermería, su ejecución y la reevaluación de los resultados adquiridos, así como la búsqueda de la red de apoyo para seguimiento de su terapéutica y reinserción social. 10…”

Section: Discussionunclassified

Intervenciones Educativas de Enfermería en el Transplante Cardíaco Post-Covid-19: Relato de Experiencia

Soares

Poltronieri

Kobayashi

et al. 2022

BJT

Self Cite

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Resumen:Introducción: La infección por Covid-19 puede ocasionar miocarditis fulminante, tornando el proceso pretrasplante más corto y de rápida progresión. Objetivo: Relatar el caso de un paciente que después de infección por Covid-19 evolucionó para transplante cardíaco, así como las intervenciones educativas de enfermería realizadas en este proceso. Método: S trata de case report aprobadopor el Comité de Ética en Investigación, bajo protocolo nº 52318721.7.0000.5462, descrito conforme las directrices del Care y sistematización de la asistencia de enfermería de unadulto que, al contraer Covid-19 en junio del 2020, evolucionó en seis meses para miocarditis, insuficiencia y transplante cardíaco, en un hospital cardiológico de la ciudad de San Pablo (SP). Resultados: Adulto joven, del sexo masculino, presentó síntomas ligeros de Covid-19 y evolucionó con agravamiento de los síntomas sistémicos, falla en el desmame de drogas vasoactivas e implante de dispositivo de balón intraórtico con desenlace para transplante cardíaco. El caso relatado mostró la evolución de ese paciente joven, sin antecedentes de enfermedad cardiovascular, evolucionando para el transplante cardíaco, diferentemente de lo que consta en la literatura sobre pacientes transplantados que adquirieron Covid-19. La evolución de la enfermedad exigió intervenciones sistematizadas asistenciales y educativas de enfermería, enfoque de este estudio para la obtención de los resultados de educación en salud. Conclusión: El paciente, con diagnóstico de enfermería de disposición para conocimiento mejorado, por medio de la intervención de la mejoría de la educación en salud, obtuvo como resultado el conocimiento de control de la insuficiencia cardíaca y tuvo como desenlace el transplante cardíaco, con adhesión intrahospitalaria a la terapéutica, debiendo ser monitoreado postalita.

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Não adesão medicamentosa nos pacientes transplantados cardíacos

Cited by 12 publications

References 23 publications

Prevalence and Patient-Level Correlates of Intentional Non-Adherence to Immunosuppressive Medication After Heart-Transplantation—Findings From the International BRIGHT Study

Prevalence and Patient-Level Correlates of Intentional Non-Adherence to Immunosuppressive Medication After Heart-Transplantation—Findings From the International BRIGHT Study

Factors related to patient adherence to the use of new oral anticoagulants

Intervenciones Educativas de Enfermería en el Transplante Cardíaco Post-Covid-19: Relato de Experiencia

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