Adherence to Immunosuppressive Medication Following Organ Transplantation

作者: Mariel Nöhre , Yesim Erim , Frank Vitinius , Felix Klewitz , Mario Schiffer

DOI: 10.1055/S-0044-100404

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摘要: Die Transplantation stellt fur viele Patienten mit chronischem Organversagen die bestmogliche und teilweise einzige Therapieoption dar. Haufig erleben nach erfolgreicher eine deutliche Verbesserung ihres Zustandes, allerdings sind sie nicht geheilt sondern noch immer chronisch krank. Das Leben dem transplantierten Organ erfordert konsequente Einnahme immunsuppressiver Medikation, regelmasige Arztbesuche Befolgung von Empfehlungen zur Infektionsvermeidung. Diese Faktoren wichtig ein langes Transplantatuberleben. Besonders Non-Adharenz immunsuppressiven Medikation ist Risikofaktor Abstosung des Transplantats. Grunde non-adharente Verhaltensweisen vielfaltig. Allerdings es groser Bedeutung individuellen genau zu identifizieren, um ihnen angemessen begegnen konnen. Ziel dieses Artikels es, einen Uberblick uber Adharenz beeinflussende geben, Moglichkeiten Adharenzerfassung vorzustellen, sowie verschiedene Ansatze prasentieren, verbessern. Randomisiert-kontrollierte Interventionsstudien werden vorgestellt davon ausgehend Praxis abgeleitet.

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