关键词:

心脏移植 , 受者 , 服药依从性 , 服药信念 , 免疫抑制药物

Abstract:

Objective To explore the correlations of belief ，outcome and adherence to immunosuppressantsin heart transplant recipients. Methods A survey was conducted on 116 heart transplant recipients. The instruments included a self-designed general information questionnaire，the Basel Assessment of Adherence with Immunosuppressive Medication Scale（BAASIS）and Beliefs about Medication Questionnaire（BMQ）. Results 58.62% heart transplant recipients were non-adherent. Therecipients score was（11.12±2.83）on harm of medication，（10.07±2.62）on overuse of medication，（18.19±2.43）on necessity of prescribed medication and（16.21±3.89）on concerns about potentialadverse consequences. The mean necessity-concerns differential was（1.98±5.03）. The scores of overuse，concerns andnecessity-concerns differential between the adherent and non-adherent recipients had significant differences（P ＜ 0.05）. Medication adherence was positively correlated with rejection andunplanned admission，and negatively correlatedwithpostoperative complications（P ＜0.05）. Conclusion Medication adherence is closely related to medication belief and patient outcomes. It is necessary to improve the medication belief of patients and promote their medication adherence，so as to improve patientoutcomes. 

Key words:

Heart transplantation , Transplant recipient , Medication adherence , Beliefs about medication, Immunosuppressant