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Self-efficacy beliefs, locus of control, religiosity and non-adherence to immunosuppressive medications in kidney transplant patients.
Silva, Andresa Nascimento; Moratelli, Lucas; Tavares, Paula Liziero; Marsicano, Elisa De Oliveira; Pinhati, Renata Romanholi; Colugnati, Fernando Antonio Basile; Lucchetti, Giancarlo; Sanders-Pinheiro, Helady.
Afiliação
  • Silva AN; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Moratelli L; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Tavares PL; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Marsicano EO; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Pinhati RR; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Colugnati FA; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil.
  • Lucchetti G; Department of Medicine, Núcleo de Pesquisas em Espiritualidade e Saúde (NUPES) Federal University of Juiz de Fora, Juiz de Fora, Brazil.
  • Sanders-Pinheiro H; Renal Transplantation Unit, Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN), Juiz de Fora, Brazil. heladysanders@gmail.com.
Nephrology (Carlton) ; 21(11): 938-943, 2016 Nov.
Article em En | MEDLINE | ID: mdl-26636921
AIM: Adherence to immunosuppressive medication is essential for favourable kidney transplant outcomes. The present study aims to investigate how self-efficacy beliefs, health locus of control and religiosity are associated with adherence to immunosuppressives in post kidney transplant recipients. METHODS: This is a cross-sectional study with 88 recipients with more than 1 year after transplantation. Three methods were used to classify patients as adherent or non-adherent: Basel Assessment of Adherence Scale for Immunosuppressives - BAASIS, the collateral report and blood levels of immunosuppressive medications. Self-efficacy, health locus of control, and religiosity were evaluated applying General Perceived Self-Efficacy Scale, Multidimensional Health Locus of Control Scale and Duke University Religion Index, respectively. Non-adherence was modelled by uni- and multivariated analysis. RESULTS: Sixty-three percent of the patients were male, age 47.2 ± 12.9 years, and median post-transplant time 108.71 (49.0-266.0) months. We found 70.5% of patients were non-adherent through at least one method. Adherent patients presented higher self-efficacy scores (45.1 ± 4.9 vs 38.3 ± 8.6; P < 0.001) and higher intrinsic religiosity (14.0 ± 1.6 vs. 12.8 ± 2.5; P = 0.016) compared to the non-adherents. Organizational and non-organizational religiosity did not differ between these groups. By logistic regression, non-adherence was associated with lower self-efficacy (OR 0.81, IC 0.70-0.92, P = 0.002), chance locus of control (OR 1.23, IC 1.04-1.45, P = 0.016) and lower intrinsic religiosity (OR 0.56, IC 0.38-0.84, P = 0.006). CONCLUSION: Our study showed that self-efficacy, chance locus of control, and intrinsic religiosity were associated with non-adherence to immunosuppressives. A broader perception of the kidney transplant patient´s integrality can help health professionals to design strategies to promote adherence in this population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Religião / Transplante de Rim / Autoeficácia / Adesão à Medicação / Imunossupressores / Controle Interno-Externo Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Nephrology (Carlton) Assunto da revista: NEFROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Austrália
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Religião / Transplante de Rim / Autoeficácia / Adesão à Medicação / Imunossupressores / Controle Interno-Externo Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Nephrology (Carlton) Assunto da revista: NEFROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Austrália