Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT AIMS: To evaluate the characteristics and risk factors related to the adherence to immunosuppressive treatment of renal transplant patients using the self-report method by means of the Basel Assessment of Adherence Scale for Immunosuppressives (BAASIS). METHODS: A prospective cohort study with a quantitative approach was performed at the Nephrology and Transplantation Service of São Lucas Hospital of the Pontifical Catholic University of Rio Grande do Sul, with patients older than 18 years, transplanted from kidneys from deceased or living donors, with a minimum transplant time of three months and a maximum of 12 months. The BAASIS instrument was applied to evaluate adhesion. For statistical analysis, Fisher exact test (Monte Carlo simulation) was used to verify the association between the categorical variables, Student t test for independent sample means and Mann Whitney test in the variables without normality. A p<0.05 was adopted for the results to be considered significant. RESULTS: The sample consisted of 59 patients, 57.6% of whom were male, 79.7% were white, the mean age was 45.8 years, 57.6% had elementary school and 72.9% were catholic. Hemodialysis was the most used method, in 86.4% of patients before transplantation, and the mean time in the waiting list was 19.5 months. After transplantation, the mean time of hospitalization was 17.2 days. The assessment of adherence by BAASIS characterized 83% of patients as non-adherent. The main fact considered as non-adherence was to take the immunosuppressive drugs with more than two hours difference from the prescribed time, at least once a week, in the last four weeks. There was no significant difference when the statistical analysis was performed to compare the adhesion rate among the various categories of the demographic and clinical variables of the patients. CONCLUSIONS: A high rate of patients not adherent to the immunosuppressive treatment was identified, and the change in the schedule of immunosuppressants was the main fact that characterized this behavior. A shorter waiting time in the transplant queue was associated with non-adherence. The other variables, demographic and clinical, were not associated to the classification of adherent or non-adherent.
Introduction: the non-adherence to the immunosuppressant treatment program is frequent in kidney transplanted patients. To promote the adherence to this therapeutic, specific educational interventions for every learning style, can help create better results. Objective: verify the relevance of educative interventions adjusted to different learning styles for immunosuppressive treatment adherence in kidney transplant patients. Methods: cohort study. Fifty-nine (59) kidney transplanted patients took part in the study. To evaluate adherence was used the Basel Assessment of Adherence Scale for Immunosuppressives (BAASIS) instrument. The learning styles were identified by the VARK questionnaire. Results: significant differences were observed in the second (p<0,001), third (p<0,001) and fourth (p=0,009) evaluate of the adherence, when compared with the first one. There wasn’t found significant differences when related. They didn't go find differences significant when related the adhesion with the learning styles and too much demographic and clinical data. Conclusion: the adhesion to the imunossupressor doesn't seem to be associated to the specific interventions for each learning style.
Descrever a experiência de uma Organização de Procura de Órgãos (OPO) ao exercer as atividades da Comissão Intra-Hospitalar de Doação de Órgãos e Tecidos para Transplante (CIHDOTT). Síntese dos dados: Relato de experiência de uma OPO, sediada em um hospital de grande porte localizado na região sul do Brasil, entre os anos 2011 e 2015. Concomitantemente à implementação da OPO no respectivo hospital, deu-se a criação das rotinas, protocolos, bem como o início do monitoramento dos indicadores de desempenho da respectiva organização. A partir disso, pode-se elaborar estratégias para potencializar as doações de órgãos. Conclusão: Ao assumir as atividades da Comissão Intra-Hospitalar de Doação de Órgãos e Tecidos para Transplante, a Organização de Procura de Órgãos mostrouse efetiva, contribuindo para o aumento das doações de órgãos no hospital, o qual tornou-se referência no Estado.
Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. http://creativecommons.org/licenses/by/4.0/deed.pt_BR Avaliação do tempo de realização do diagnóstico de mortes encefálicas notificadas à Central de Transplantes do Rio Grande do Sul Evaluation of the time of diagnosis of brain deaths notified to the
Objetivo: Avaliar o conhecimento de estudantes dos cursos de Graduação em Enfermagem, Psicologia e Serviço Social sobre o conceito de Morte Encefálica e aspectos do processo de doação e transplante de órgãos e tecidos. Métodos: Estudo de campo, exploratório, descritivo e prospectivo, quantitativo. Realizado em Instituição de Ensino Superior privada. Utilizou-se contendo 10 questões, sobre o processo de doação de órgãos e perguntas relacionadas ao perfil da amostra. Participaram do estudo, acadêmicos de Enfermagem, Psicologia e Serviço Social. Realizada análise descritiva e quantitativa dos dados. Resultados: Participaram do estudo 449 acadêmicos. Constatou-se que os participantes possuem conhecimento a respeito do processo de doação e transplante de órgãos, porém com lacunas, que reverberam a importância destes futuros profissionais buscarem aprofundar os saberes sobre esta temática. Conclusão: Ressalta-se a importância dos profissionais da área da saúde conhecerem o processo de doação e transplante podendo contribuir com o aumento do número de doações.
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