Turkish Journal of Nephrology
Original Article

Investigation of Affecting Factors in Medication Adherence in Kidney Transplant Recipients


Dokuz Eylul University, Surgical Nursing Department, Faculty of Nursing, , Izmir, Turkey


Faculty of Health Science, Izmir University of Economics, Izmir, Turkey


Dokuz Eylul University Hospital, Department of Internal Medicine, Division of Nephrology, Balçova, İzmir, Turkey


Medicana Hospital İzmir, Department of Nephrology, İzmir, Turkey

Turkish J Nephrol 1; 1: -
Read: 37 Published: 18 May 2022

Objective: This study aimed to determine the risk factors related to immunosuppressive medication adherence in kidney transplant recipients.

Methods: The study adopted a retrospective design. It was carried out on 208 kidney transplant recipients. The social cognitive theory was used for understanding and addressing the issues of nonadherence to immunosuppressive medication. Data was collected with a self-report scale Immunosuppressant Therapy Adherence Scale and biological assays. Descriptive analyses and logistic regression were used to analyze data.

Results: According to the self-reported assessment, medication adherence of the patients receiving transplants from live donors was 0.503 times lower than that of the patients receiving transplants from deceased donors. The biological assays did not show any affecting factors in medication adherence.

Conclusions: The results of the study showed the importance of combining methods to assess medication adherence. In the self-reported assessment, live donor transplantation was found to negatively affect medication adherence. Turkey is the country with the highest number of kidney transplantations from live donors in the world. Health professionals must be more careful in assessing medication adherence after live donor transplantations.

EISSN 2667-4440