ADHERENCE TO LIVER TRANSPLANTATION TREATMENT: AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.5380/ce.v24i0.58326

Keywords:

Liver transplant, Patient compliance, Adherence to medication, Patient care team, Review.

Abstract

Objective: to evaluate the interventions of the multidisciplinary team that provide improvements
in adherence to treatment after liver transplantation.
Method: integrative review of the literature. The inclusion criteria were articles published between
2012 and 2017, in the Portuguese, English and Spanish languages, performed with the
adult population that had undergone liver transplantation.
Results: the initial search resulted in 84 publications, with 10 studies being selected. The data
were tabulated according to the relevance of the content, objectives, type of intervention,
number of patients and level of evidence. Four analytical categories were found: educational
interventions; adoption of an individual therapeutic plan; change in the immunosuppressive
regimen; emotional and psychological support and strengthening of the support network.
Conclusion: the multidisciplinary team should provide information about the transplantation
process, perform appropriate management of immunosuppression, regularly assess the patients
for signs of depression and anxiety, investigate their beliefs and values, and institute an
individualized care plan.

Author Biographies

Priscilla Caroliny de Oliveira, Universidade Federal de São Paulo - Escola Paulista de Enfermagem. Programa de Doutorado em Ciências da Saúde.

Enfermeira.  Mestre em Ciências da Saúde. Doutoranda da Universidade Federal de São Paulo - São Paulo, Brasil.

Felippe Pires Detta, Universidade Federal de São Paulo - Escola Paulista de Enfermagem.

Graduando da Escola Paulista de Enfermagem. São Paulo – SP, Brasil.

Heloísa Barboza Paglione, Universidade Federal de São Paulo - Escola Paulista de Enfermagem.

Enfermeira. Especialista em Transplante e doação de órgãos.Mestranda da Universidade Federal de São Paulo. São Paulo – SP, Brasil.

Samantha Mucci, Universidade Federal de São Paulo. Escola Paulista de Medicina.

Psicóloga do Departamento de Psiquiatria da Escola Paulista de Medicina - Universidade Federal de São Paulo. São Paulo – SP, Brasil.

Janine Schirmer, Universidade Federal de São Paulo - Escola Paulista de Enfermagem.

Enfermeira. Professora Titular do Departamento de Enfermagem da Saúde da Mulher da Escola Paulista de Enfermagem da Universidade Federal de Enfermagem. São Paulo – SP, Brasil. 

Bartira De Aguiar Roza, Universidade Federal de São Paulo - Escola Paulista de Enfermagem

Enfermeira. Professora Adjunta do Departamento de Enfermagem Clinica e Cirúrgica da Escola Paulista de Enfermagem da Universidade Federal de São Paulo. São Paulo – SP, Brasil.

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Published

2019-02-25

How to Cite

Oliveira, P. C. de, Detta, F. P., Paglione, H. B., Mucci, S., Schirmer, J., & Roza, B. D. A. (2019). ADHERENCE TO LIVER TRANSPLANTATION TREATMENT: AN INTEGRATIVE REVIEW. Cogitare Enfermagem, 24. https://doi.org/10.5380/ce.v24i0.58326

Issue

Vol. 24 (2019)

Section

Review

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