@Article{Milaniak2011,
journal="Pielęgniarstwo Chirurgiczne i Angiologiczne/Surgical and Vascular Nursing",
issn="1897-3116",
volume="5",
number="2",
year="2011",
title="How to improve adherence to treatment among heart transplant recipients? Literature review and own experience",
abstract="  Background  : Organ transplantation is a treatment of choice for selected patients with end stage organ diseases.  Medication adherence (MA) is essential for the survival of organs grafts, however complexity of the medication – taking regimen makes adherence difficult and is the reason of graft loss and graft rejection.      Aim of the study  : To assess adherence in patients after heart transplantation (HTX). Evaluation of nursing interventions which improve adherence based on literature and own experience      Material and methods  : The group of 66 patients after HTX were administered a questionnaire that included the validated 6-item Morisky Medication Adherence Scale.     Results  : The age of participants was ranged 23-73 years, 1-17 years after HTX. 35% of recipients admitted to having missed a dose of immunosuppressive medications, 41% vs. other drugs. 3-6% cut back or stopped taking their medication because they felt worse or they felt their conditions were under control vs. 21.21-30.3%. Literature review and Evidence Based Nursing indicates the need to combine various methods to increase MA.    Nursing interventions:    • evaluation of the reasons for not following the recommendations,    • choosing the form and methods to educate patients,    • promoting self-care.    Evaluation: there were no episodes of acute rejection, low levels of drugs resulting from nonadhrence.      Conclusions  : Nursing actions should focus on combining the methods of patient education and assessing the reasons for not following the recommendations of the therapeutic team. A combination of interventions in nursing allows building a good adherence in patients after HTX.",
author="Milaniak, Irena
and Makieła, Wioletta
and Przybyłowski, Piotr
and Wierzbicki, Karol
and Sadowski, Jerzy",
pages="99--106",
url="https://www.termedia.pl/How-to-improve-adherence-to-treatment-among-heart-transplant-recipients-Literature-review-and-own-experience,50,16761,1,1.html"
}