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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2015, Cilt 29, Sayı 1, Sayfa(lar) 019-026
[ Turkish ] [ Tam Metin ] [ PDF ]
Medication Nonadherence in Liver Transplant Recipients in Turkey
Nur ŞAHİN KAYA1, Özgül KARAYURT2
1Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, İzmir, TÜRKİYE
2Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, TÜRKİYE
Keywords: Liver transplantation, medication adherence, nursing, qualitative research

Objective: The purpose of this study was to explore medication nonadherence in the liver transplant recipients after transplantation.

Material and Methods: This was a descriptive qualitative study. Data were collected from 21 adult liver transplant recipients in a liver transplantation outpatient clinic from April 2011 till June 2011, when sufficient data accrued. A patient characteristics form and a semi-structured interview were used for data collection. Interviews were recorded, transcribed, analyzed and sorted into themes and subthemes.

Results: Three main themes, namely “medication nonadherence”, “causes of medication nonadherence” and “expectations from nurses”, were formed and each of them had several subthemes. Subthemes for medication nonadherence were “skipping doses”, “delaying doses” and “mistaking medication”. Subthemes for causes of medication nonadherence were “forgetting”, “life-style”, “health care system”, “insufficient knowledge”, “multiple medications use” and “health beliefs”. Subthemes for expectations from nurses were “financial guidance”, “education” and s”howing interest”.

Conclusion: The liver transplant recipients had medication nonadherence for many reasons and expectations from nurses for prevention of nonadherence. Nurses and other health professionals should be aware of causes of drug nonadherence in the liver transplant recipients after transplantation and should be able to provide them with appropriate counseling and education.


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