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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 1  |  Page : 79-92

Factors affecting caregivers’ adherence to therapeutic regimens for their children after kidney transplantation


1 Pediatric Nursing Department, Faculty of Nursing, Cairo University, Giza, Egypt
2 Pediatric Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt

Correspondence Address:
Kareem M Abdelhady
MSc of Pediatric Nursing, Pediatric Nursing Department, Faculty of Nursing, Cairo University, Giza
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_26_17

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Introduction Adherence to therapeutic regimens after kidney transplantation plays a role in graft survival and improving quality of life of children and their families. Aim The aim of this study was to assess the factors affecting caregivers’ adherence to therapeutic regimens for their children after kidney transplantation. A descriptive exploratory design was used in the current study. The study was conducted at kidney transplantation outpatient clinic at Al-Monira University Pediatric Hospital. A convenience sample was taken of 50 caregivers of children who had kidney transplantation and attended the outpatient clinic for follow-up. Caregiver structured interview sheet consisted of three parts: personal data, assessment adherence to therapeutic regimens, and factors affecting caregivers’ adherence. Results The results of the current study showed that approximately three-quarters of caregivers of children are the mothers. In the total level of adherence, only one-fifth of caregivers adhered to all therapeutic regimens. The highest adherence was for follow-up regimen, followed by hygiene and exercise regimens, and the lowest adherence was for medication and diet regimens. The caregivers’ factors of nonadherence are increased dependency on others, restrictions of daily living activities, transportation difficulties, and in some of them, adherence is difficult for them. Conclusion The current study concluded that only one-fifth of the caregivers adhered to all therapeutic regimens. The more educated and urban dwelling the caregiver, the more is adherence seen in the total score of therapeutic regimen, with statistically significant difference. The caregivers’ factors of nonadherence are psychological, financial, and some related to their commitment, as adherence is difficult for them. Recommendations The study recommended that assessment level of adherence among caregivers of children after kidney transplantation is essential to determine their actual and potential needs, and health education program must designed and implemented to maximize the adherence level.


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