Couples After Renal Transplantation: Impact of Sex and Relationship Quality on Adherence in a Prospective Study

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Couples After Renal Transplantation: Impact of Sex and Relationship Quality on Adherence in a Prospective Study. / Neubert, Laura; Peters, Luisa; Tkachenko, Daria; Zimmermann, Tanja.

In: TRANSPL P, Vol. 53, No. 5, 06.2021, p. 1599-1605.

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@article{280122ec96114d3fae7374e4c0a113f7,
title = "Couples After Renal Transplantation: Impact of Sex and Relationship Quality on Adherence in a Prospective Study",
abstract = "BACKGROUND: In patients after kidney transplantation, nonadherence to immunosuppressant medication is a common problem. Identifying factors that influence adherence could optimize medical care and prevent nonadherence. Kidney transplantation is a stressful situation for the patient and also for the relatives. The recipients of renal transplants as well as the family system have to be taken into account as potential impact factors.METHODS: Fifty-six couples with a renal transplant recipient were investigated regarding adherence, relationship satisfaction, social support, and quality of life. Moreover, sex and role differences (patient vs partner) as well as differences within the couple were analyzed. Impact factors on adherence were identified.RESULTS: Female recipients of renal transplant reported higher relationship satisfaction than male recipients, female spouses, and male spouses. Physical quality of life was lower in renal transplant recipients compared with caregivers. For male renal transplant recipients, significant predictors of adherence, such as social support, relationship quality, and quality of life emerged, whereas for female renal transplant recipients mental quality of life and education level were found to influence adherence.CONCLUSIONS: The study reveals the importance of relationship functioning of couples after kidney transplantation, as well as considering sex and role differences. There is a need to examine the posttransplantation nonadherence risk profile of women and men separately.",
keywords = "Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Family Relations, Female, Humans, Immunosuppressive Agents/therapeutic use, Kidney Transplantation, Male, Medication Adherence/statistics & numerical data, Middle Aged, Prospective Studies, Quality of Life, Sex Factors, Social Support, Spouses, Transplant Recipients",
author = "Laura Neubert and Luisa Peters and Daria Tkachenko and Tanja Zimmermann",
note = "Copyright {\textcopyright} 2021 Elsevier Inc. All rights reserved.",
year = "2021",
month = jun,
doi = "10.1016/j.transproceed.2021.02.017",
language = "English",
volume = "53",
pages = "1599--1605",
journal = "TRANSPL P",
issn = "0041-1345",
publisher = "Elsevier USA",
number = "5",

}

RIS

TY - JOUR

T1 - Couples After Renal Transplantation: Impact of Sex and Relationship Quality on Adherence in a Prospective Study

AU - Neubert, Laura

AU - Peters, Luisa

AU - Tkachenko, Daria

AU - Zimmermann, Tanja

N1 - Copyright © 2021 Elsevier Inc. All rights reserved.

PY - 2021/6

Y1 - 2021/6

N2 - BACKGROUND: In patients after kidney transplantation, nonadherence to immunosuppressant medication is a common problem. Identifying factors that influence adherence could optimize medical care and prevent nonadherence. Kidney transplantation is a stressful situation for the patient and also for the relatives. The recipients of renal transplants as well as the family system have to be taken into account as potential impact factors.METHODS: Fifty-six couples with a renal transplant recipient were investigated regarding adherence, relationship satisfaction, social support, and quality of life. Moreover, sex and role differences (patient vs partner) as well as differences within the couple were analyzed. Impact factors on adherence were identified.RESULTS: Female recipients of renal transplant reported higher relationship satisfaction than male recipients, female spouses, and male spouses. Physical quality of life was lower in renal transplant recipients compared with caregivers. For male renal transplant recipients, significant predictors of adherence, such as social support, relationship quality, and quality of life emerged, whereas for female renal transplant recipients mental quality of life and education level were found to influence adherence.CONCLUSIONS: The study reveals the importance of relationship functioning of couples after kidney transplantation, as well as considering sex and role differences. There is a need to examine the posttransplantation nonadherence risk profile of women and men separately.

AB - BACKGROUND: In patients after kidney transplantation, nonadherence to immunosuppressant medication is a common problem. Identifying factors that influence adherence could optimize medical care and prevent nonadherence. Kidney transplantation is a stressful situation for the patient and also for the relatives. The recipients of renal transplants as well as the family system have to be taken into account as potential impact factors.METHODS: Fifty-six couples with a renal transplant recipient were investigated regarding adherence, relationship satisfaction, social support, and quality of life. Moreover, sex and role differences (patient vs partner) as well as differences within the couple were analyzed. Impact factors on adherence were identified.RESULTS: Female recipients of renal transplant reported higher relationship satisfaction than male recipients, female spouses, and male spouses. Physical quality of life was lower in renal transplant recipients compared with caregivers. For male renal transplant recipients, significant predictors of adherence, such as social support, relationship quality, and quality of life emerged, whereas for female renal transplant recipients mental quality of life and education level were found to influence adherence.CONCLUSIONS: The study reveals the importance of relationship functioning of couples after kidney transplantation, as well as considering sex and role differences. There is a need to examine the posttransplantation nonadherence risk profile of women and men separately.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Cross-Sectional Studies

KW - Family Relations

KW - Female

KW - Humans

KW - Immunosuppressive Agents/therapeutic use

KW - Kidney Transplantation

KW - Male

KW - Medication Adherence/statistics & numerical data

KW - Middle Aged

KW - Prospective Studies

KW - Quality of Life

KW - Sex Factors

KW - Social Support

KW - Spouses

KW - Transplant Recipients

U2 - 10.1016/j.transproceed.2021.02.017

DO - 10.1016/j.transproceed.2021.02.017

M3 - SCORING: Journal article

C2 - 33888346

VL - 53

SP - 1599

EP - 1605

JO - TRANSPL P

JF - TRANSPL P

SN - 0041-1345

IS - 5

ER -