Universität zu Köln

Noehre, Mariel, Erim, Yesim, Vitinius, Frank, Klewitz, Felix, Schiffer, Mario ORCID: 0000-0002-8414-1470 and de Zwaan, Martina (2018). Adherence to Immunosuppressive Medication Following Organ Transplantation. Psychother. Psychosom. Med. Psychol., 68 (5). S. 185 - 195. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-1058

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Abstract

Organ transplantation is the best and to some extent only option for many patients with chronic organ failure. Usually after successful transplantation patients experience a significant improvement of their condition. Nevertheless, they are not cured but still chronically ill. Living with an organ transplant requires consequent immunosuppression intake, regular physician visits and following the recommendations regarding infection prevention. These factors are important to secure a long transplant survival. Especially non-adherence to immunosuppressants is known as a risk factor for transplant rejection. There are several reasons for non-adherent behavior. However identifying the individual motivations is crucial for addressing them correctly. The aim of this article is to give an overview of factors influencing adherence, to introduce options to assess adherence and to present ways to improve adherence. Randomized-controlled intervention studies are presented and on that basis recommendations for clinical practice are derived.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Noehre, Mariel UNSPECIFIED UNSPECIFIED UNSPECIFIED Erim, Yesim UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Klewitz, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffer, Mario UNSPECIFIED orcid.org/0000-0002-8414-1470 UNSPECIFIED de Zwaan, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-188370
DOI:	10.1055/s-0044-100404
Journal or Publication Title:	Psychother. Psychosom. Med. Psychol.
Volume:	68
Number:	5
Page Range:	S. 185 - 195
Date:	2018
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-1058
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RANDOMIZED CONTROLLED-TRIAL; WITHIN-PATIENT VARIABILITY; KIDNEY-TRANSPLANT; RENAL-TRANSPLANT; PHARMACEUTICAL CARE; THERAPY ADHERENCE; HEALTH LITERACY; GRAFT LOSS; RECIPIENTS; NONADHERENCE Multiple languages Psychology, Clinical Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18837