Clinical risk associated with appointment noncompliance in heart transplant recipients.

作者: Sabina De Geest , Fabienne Dobbels , Sandra Martin , Kristien Willems , Johan Vanhaecke

DOI: 10.7182/PRTR.10.3.MTX734810867W680

关键词:

摘要: This study examined the prevalence of appointment noncompliance in 101 heart transplant recipients and how is related to patient profile clinical risk. Appointment was defined as patients not showing up at 1 or more planned clinic appointments (at a minimal frequency every 3 months) during previous year. Clinical variables were collected from medical files. Psychosocial measured using established instruments. Medication assessed electronic event monitoring. Paired t test, Wilcoxon 2-sample chi-square Fisher exact test used for statistical analysis appropriate. The non-compliance 7%. noncompliers significantly younger, less likely live stable relationship with partner, depressed, perceived their health poorer, experienced symptom distress, had drug holidays. Fifty-seven percent appointme...

参考文章(31)
R. L. Kormos, M. A. Dew, L. H. Roth, B. P. Griffith, M. E. Thompson, Medical compliance and its predictors in the first year after heart transplantation. Journal of Heart and Lung Transplantation. ,vol. 15, pp. 631- 645 ,(1996)
I. Abraham, J. Vanhaecke, W. Daenen, G. Evers, P. Moons, S. De Geest, J. Van Cleemput, M. Vandeputte, Late acute rejection and subclinical noncompliance with cyclosporine therapy in heart transplant recipients. Journal of Heart and Lung Transplantation. ,vol. 17, pp. 854- 863 ,(1998)
Jr. John E. Ware, Scales for measuring general health perceptions Health Services Research. ,vol. 11, pp. 396- 415 ,(1976)
Thomas R. Swenson, Gene Pekarik, Interventions for reducing missed initial appointments at a community mental health center. Community Mental Health Journal. ,vol. 24, pp. 205- 218 ,(1988) , 10.1007/BF00757138
Peter Franks, Thomas L. Campbell, Cleveland G. Shields, Social relationships and health: The relative roles of family functioning and social support Social Science & Medicine. ,vol. 34, pp. 779- 788 ,(1992) , 10.1016/0277-9536(92)90365-W
Clarann Weinert, Patricia A. Brandt, Measuring Social Support with the Personal Resource Questionnaire Western Journal of Nursing Research. ,vol. 9, pp. 589- 602 ,(1987) , 10.1177/019394598700900411
Mary Amanda Dew, Robert L Kormos, Loren H Roth, Srinivas Murali, Andrea DiMartini, Bartley P Griffith, Early post-transplant medical compliance and mental health predict physical morbidity and mortality one to three years after heart transplantation The Journal of Heart and Lung Transplantation. ,vol. 18, pp. 549- 562 ,(1999) , 10.1016/S1053-2498(98)00044-8
EVA M. KOMOROSKI, CHARLES J. GRAHAM, RUSSEL S. KIRBEY, A comparison of interventions to improve clinic follow-up compliance after a pediatric emergency department visit Pediatric Emergency Care. ,vol. 12, pp. 87- 90 ,(1996) , 10.1097/00006565-199604000-00005
ROBERT T. SCHWEIZER, MARY ROVELLI, DEBERA PALMERI, ELIZABETH VOSSLER, DAVID HULL, STANLEY BARTUS, Noncompliance in organ transplant recipients. Transplantation. ,vol. 49, pp. 374- 377 ,(1990) , 10.1097/00007890-199002000-00029
Eric B. Larson, James Bergman, Fred Heidrich, Barbara L. Alvin, Ronald Schneeweiss, Do Postcard Reminders Improve Influenza Vaccination Compliance? A Prospective Trial of Different Postcard "Cues" Medical Care. ,vol. 20, pp. 639- 648 ,(1982) , 10.1097/00005650-198206000-00010