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題名:移植病患之免疫抑制劑服藥遵從性
書刊名:護理雜誌
作者:施明蕙蔡娟秀 引用關係
作者(外文):Shih, Ming-huiTsai, Chuan-hsiu
出版日期:2014
卷期:61:4
頁次:頁21-25
主題關鍵詞:服藥遵從性免疫抑制劑療法移植病患遵從性模式AdherenceImmunosuppressive therapyTransplant recipientsAdherence model
原始連結:連回原系統網址new window
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  • 共同引用共同引用:1
  • 點閱點閱:48
隨著醫療科技的進步,器官移植已成為治療器官衰竭的新興手術。然而病患在接受移植手術後,必須終生服用免疫抑制劑,以維持良好的移植器官功能。免疫抑制劑的不遵從除了會影響移植器官功能,相對可能降低生活品質,甚至危及生命導致死亡,並增加醫療負擔及社會成本。世界衛生組織(World Health Organization, WHO)於2003年所發表的遵從性模式歸納出五個影響因素,分別是社會經濟(social and economic)、健康照護系統(health care team and system)、情境(condition)、患者(patient)、治療(therapy)等因素。臨床醫護人員若能即早瞭解影響免疫抑制劑遵從性之相關因素,將可預防不遵從所造成的身心傷害。本文以WHO的遵從性模式為例,探討移植病患對免疫抑制劑服藥遵從性之相關因素,做為臨床護理與衛教建議之參考。
Advancing medical technology has made organ transplantation an emerging surgical treatment option for organ failure. Patients who receive transplants must take immunosuppressive agents for the remainder of their life in order to maintain good graft function. Failure to take these agents may affect the function of the transplanted graft, reduce quality of life, and even cause death. Thus, encouraging patients to take immunosuppressive agents as directed is critical to minimizing the long-term medical burdens and social costs of organ transplantation. The purpose of this study is to explore the factors associated with adherence to immunosuppressive therapy among transplant recipients using the WHO adherence model. Findings are provided as a reference to health education and clinical care planners.
期刊論文
1.Hansen, R.、Seifeldin, R.、Noe, L.(2007)。Medication adherence in chronic disease: Issues in posttransplant immunosuppression。Transplantation Proceedings,39(5),1287-1300。  new window
2.Morrissey, P. E.、Flynn, M. L.、Lin, S.(2007)。Medication noncompliance and its implications in transplant recipients。Drugs,67(10),1463-1481。  new window
3.楊易宏、劉雪娥(20081200)。腎臟移植患者的實證護理--個別衛教。長庚護理,19(4)=64,496-503。new window  延伸查詢new window
4.Butler, J. A.、Peveler, R. C.、Roderick, P.、Smith, P. W. F.、Horne, R.、Mason, J. C.(2004)。Modifiable risk factors for non-adherence to immunosuppressants in renal transplant recipients: A cross-sectional study。Nephrology Dialysis Transplantation,19(12),3144-3149。  new window
5.Chisholm, M. A.、Kwong, W. J.、Spivey, C. A.(2007)。Associations of characteristics of renal transplant recipients with clinicians’ perceptions of adherence to immunosuppressant therapy。Transplantation,84(9),1145-1150。  new window
6.Chisholm, M. A.、Lance, C. E.、Mulloy, L. L.(2005)。Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients。American Joruanl Health-System Pharmacy,62(17),1775-1781。  new window
7.Denhaerynck, K.、Steiger, J.、Bock, A.、Schäfer-Keller, P.、Köfer, S.、Thannberger, N.、De Geest, S.(2007)。Prevalence and risk factors of non-adherence with immunosuppressive medication in kidney transplant patients。American Journal of Transplantation,7(1),108-116。  new window
8.Dew, M. A.、Di Martini, A. F.、De Vito Dabbs, A.、Myaskovsky, L.、Steel, J.、Unruh, M.、Greenhouse, J. B.(2007)。Rates and risk factors for nonadherence to the medical regimen after adult solid organ transplantation。Transplantation,83(7),858-873。  new window
9.Drent, G.、Moons, P.、De Geest, S.、Kleibeuker, J. H.、Haagsma, E. B.(2008)。Symptom experience associated with immunosuppressive drugs after liver transplantation in adults: Possible relationship with medication non-compliance?。Clinical Transplantation,22(6),700-709。  new window
10.Ichimaru, N.、Kakuta, Y.、Abe, T.、Okumi, M.、Imamura, R.、Isaka, Y.、Takahara, S.(2008)。Treatment adherence in renal transplant recipients: A questionnaire survey on immunosuppressants。Transplantation Proceedings,40(5),1362-1365。  new window
11.Kasiske, B. L.、Zeier, M. G.、Chapman, J. R.、Craig, J. C.、Ekberg, H.、Garvey, C. A.、Balk, E. M.(2010)。KDIGO clinical practice guideline for the care of kidney transplant recipients: A summary。Kidney International,77(4),299-311。  new window
12.Kugler, C.、Geyer, S.、Gottlieb, J.、Simon, A.、Haverich, A.、Dracup, K.(2009)。Symptom experience after solid organ transplantation。Journal of Psychosomatic Research,66(2),101-110。  new window
13.Lin, S. Y.、Fetzer, S. J.、Lee, P. C.、Chen, C. H.(2011)。Predicting adherence to health care recommendations using health promotion behaviours in kidney transplant recipients within 1–5 years post-transplant。Journal of Clinical Nursing,20(23),3313-3321。  new window
14.Tong, A.、Howell, M.、Wong, G.、Webster, A. C.、Howard, K.、Craig, J. C.(2011)。The perspectives of kidney transplant recipients on medicine taking: A systematic review of qualitative studies。Nephrology Dialysis Transplantation,26(1),344-354。  new window
15.Vlaminck, H.、Maes, B.、Evers, G.、Verbeke, G.、Lerut, E.、Van Damme, B.、Vanrenterghem, Y.(2004)。Prospective study on late consequences of subclinical non-compliance with immunosuppressive therapy in renal transplant patients。American Journal of Transplantation,4(9),1509-1513。  new window
16.Weng, F. L.、Israni, A. K.、Joffe, M. M.、Hoy, T.、Gaughan, C. A.、Newman, M.、Feldman, H. I.(2005)。Race and electronically measured adherence to immunosuppressive medications after deceased donor renal transplantation。Journal of the American Society of Nephrology,16(6),1839-1848。  new window
17.Weng, L. C.、Dai, Y. T.、Huang, H. L.、Chiang, Y. J.(2010)。Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients。Journal of Advanced Nursing,66(4),828-838。  new window
18.Whittaker, C.、Dunsmore, V.、Murphy, F.、Rolfe, C.、Trevitt, R.(2012)。Long-term care and nursing management of a patient who is the recipient of a renal transplant。Journal of Renal Care,38(4),233-240。  new window
圖書
1.Sabaté, E.(2003)。Adherence to long-term therapies: Evidence for action。Geneva, Switzerland:World Health Organization。  new window
其他
1.財團法人器官捐贈移植登錄中心(2013)。各醫院之器官勸募數及移植術後存活率,http://www.torsc.org.tw/transplant/transplant_01.jsp#。  延伸查詢new window
圖書論文
1.Haynes, R. B.(1979)。Determinants of compliance: The disease and the mechanics of treatment。Compliance in health care。Baltimore, MD:Johns Hopkins University Press。  new window
 
 
 
 
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