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Year : 2018  |  Volume : 12  |  Issue : 1  |  Page : 17-24

Compliance of kidney transplant recipients to the recommended lifestyle measures following transplantation

1 Department of Nursing Education, Govt College of Nursing, Burdwan, West Bengal, India
2 Department of Nephrology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
3 Department of Pharmacology, I.P.G.M.E.R and S.S.K.M Hospital, Kolkata, West Bengal, India
4 Department of Medicine, K.P.C Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Uma Rani Adhikari
Government College of Nursing, Burdwan, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijot.ijot_55_17

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Introduction: Lifestyle modification has an important role to play for the success of organ transplantation. In renal transplant recipients, recommended lifestyle measures include proper diet, exercise, clinic visits, monitoring and laboratory investigations as per schedule, protection against infections, and abstinence from addictions. The objective of the present study was to assess the compliance with lifestyle recommendations following kidney transplantation and to identify the potential determinants of noncompliance. Materials and Methods: This was a longitudinal study with 153 adult individuals attending the nephrology posttransplant clinic of one tertiary care government and two private hospitals in Kolkata. Participants were followed up for 1 year at 3-month intervals. A pretested questionnaire was used to screen for noncompliance in seven lifestyle areas, and if noncompliance was identified, its extent was assessed, and individuals probed further to explore potential determinants of noncompliance. Results: 64.1% of the transplant recipients were compliant with the recommended lifestyle measures overall. Separately, compliance rates were dietary 83.66%, clinic attendance 88.23%, self-monitoring or home monitoring 89.54%, laboratory investigations completion 88.23%, infection prevention 93.46%, and abstinence from addiction 95.42%. No statistical analysis was done for exercise compliance as recommendations were judged inconsistent and inadequate. Logistic regression analysis revealed that number of comorbidities, number of adverse reactions to prescribed drugs, and perceived severity of the disease were significantly associated with noncompliance. Conclusions: Overall compliance with lifestyle recommendations was suboptimum. The noncompliance risk factors identified need to be probed further.

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