Patient-Related Factors that Influence Adherence to Post-Kidney Transplant Treatment Among Kidney Allograft Recipients at a National Referral Hospital, Kenya

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Date
2021
Authors
Nyambura, Anne Mumbi
Journal Title
Journal ISSN
Volume Title
Publisher
Numid Publishers
Abstract
Introduction: The purpose of this study was to describe patient-related factors that influence adherence to post kidney transplant treatment among kidney allograft recipients at a national referral hospital in Kenya. Adherence to long term immunosuppressive medications determine the success of kidney transplantation. However, non-adherence is a global health concern among this special population. Methods: Descriptive cross-sectional hospital-based study, census sampling method was used with a sample size of 106 kidney allograft recipients. Findings: Almost half 49(46%) of the respondents were non adherent to medication. Majority 43(88%) pointed out that cost of the medicines was the main reason for non- adherence. Among those who adhered, 102(96%) indicated that they had adhered because the quality of their life had improved after kidney transplantation. Age was found to be a statistically significant factor in influencing outcome of adherence as indicated by body mass index (BMI) (x 2(15) = 30.09, p =.012, p<.005). Conclusion: There exists a gap in adherence to medication among the kidney allograft recipients. Cost of medication is an important factor in non-adherence. Recommendations: The health care providers should develop sustainable strategies to curb medication non-adherence. Government should consider National Hospital Insurance Fund cover to all post kidney transplant medicines. Non-governmental organizations should offer financial support to this special population by donating drugs.
Description
A research article published in Kenyan Journal of Nursing & Midwifery
Keywords
Kidney transplantation, Adherence, Immunosuppressive drugs
Citation
NYAMBURA, Anne Mumbi. Patient-Related Factors that Influence Adherence to Post-Kidney Transplant Treatment Among Kidney Allograft Recipients at a National Referral Hospital, Kenya. Kenyan Journal of Nursing & Midwifery, [S.l.], v. 6, n. 1, p. 49-61, sep. 2021. ISSN 2518-8631. Available at: <https://kjnm.co.ke/index.php/kjnm/article/view/203>. Date accessed: 14 sep. 2021.