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Medication compliance and lifestyle adherence in renal transplant recipients in Kuwait

机译：科威特肾移植受者的药物依从性和生活方式依从性

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Introduction and aim: Kidney transplantation is the optimal treatment choice for end stage renal disease; this option needs a major change in the recipients’ lifestyle and requires strict adherence to medications. The study aim was to assess the compliance of renal transplant patients to medications and lifestyle modifications in the Hamed Al-Essa Organ Transplant Center in Kuwait. Patients and methods: One-hundred and twenty renal transplant patients were interviewed for their lifestyle behaviors after transplantation, including transplant adherence to their medications, healthy meals, personal hygiene, physical activity, regular out-patient follow up visits, and preventive measures against infection and cancer, in addition to sexual function. The questionnaire used was created by staff of the Faculty of Medicine, Mansura University, Egypt. Results: Sixty percent of the renal transplant patients were compliant with medications and lifestyle. Risk factors associated with poor medication compliance were being Kuwaiti citizens, women, and having had unrelated living donors ( p 0.05). Compliance with medications was associated with less transplant related complications ( p =0.003). Only 15% of the participants were compliant with low-salt diet, 8% with low-fat, and 11% with low-carb. One fourth of patients were compliant with a daily shower and 20% were physically active. More than 70% of the patients were regularly visiting the out-patient clinic. Compliance to preventive measures against infection was observed in 85% of patients but only 5% were avoiding direct sun exposure. Half of the male patients had sexual dysfunction but only half of them were consulting their nephrologists about it. Conclusion: Kidney transplant patients in Kuwait had moderate compliance with medications and lifestyle modifications. Closer assessment is needed to identify the risk factors before and after transplantation to avoid any complications associated with non-compliance.
机译：引言和目的：肾脏移植是终末期肾脏疾病的最佳治疗选择。此选项需要对接受者的生活方式进行重大改变，并要求严格遵守药物治疗。该研究的目的是在科威特的Hamed Al-Essa器官移植中心评估肾移植患者对药物和生活方式改变的依从性。患者和方法：对120例肾移植患者的移植后生活方式进行了访谈，包括移植对药物的依从性，健康饮食，个人卫生，身体活动，定期门诊随访以及预防感染的措施和癌症，除了性功能。所使用的调查表是由埃及曼苏拉大学医学院的工作人员创建的。结果：60％的肾移植患者符合药物治疗和生活方式。与药物依从性差有关的危险因素是科威特公民，妇女以及没有亲属的活体供体（p <0.05）。对药物的依从性与较少的移植相关并发症相关（p = 0.003）。只有15％的参与者符合低盐饮食，8％的低脂饮食和11％的低碳水化合物饮食。四分之一的患者每天都洗一次澡，而20％的人进行体育锻炼。超过70％的患者定期去门诊就诊。在85％的患者中观察到对感染预防措施的依从性，但只有5％的患者避免阳光直射。一半的男性患者患有性功能障碍，但只有一半的患者正在咨询肾脏科医生。结论：科威特的肾脏移植患者对药物治疗和生活方式的适应性中等。需要进行更深入的评估，以识别移植前后的危险因素，以避免任何与不依从相关的并发症。

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