Browsing by Author "Akinci, Serkan"

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Citation Count: 2
Assessment of the Effectiveness of Patient Education and Interviews in Improving Medication Adherence of Renal Transplant Recipients
(Springernature, 2022) Akıncı Akşit, Naile; Ozbas, Ayfer; Akinci, Serkan; Hemşirelik Bölümü
Background Non-compliance with immunosuppressive drugs has been reported as the most significant cause of graft loss. Since non-compliance with immunosuppressive drugs is preventable, certain approaches based on the risk factors and causes of non-compliance can help eliminate this problem. Aims The purpose of this study is to assess the effectiveness of patient education and interviews in improving medication adherence of renal-transplant recipients. Materials and methods This study was designed as a randomized controlled trial. Using the G*Power program, the sample size was calculated as 60 subjects, with 30 in both the intervention group and control group. Data collection tools included a patient information form, a pretest-posttest, a drug monitoring form for kidney transplant patients, the Immunosuppressive Therapy Adherence Scale, measurement of tacrolimus blood levels, and a training booklet. Results The mean knowledge score in the intervention group was 12.17 +/- 3.39 at baseline, and it increased to 20.73 +/- 1.57 after the intervention. The mean scores on the Immunosuppressant Therapy Adherence Scale were 11.67 +/- 0.55 and 10.70 +/- 0.99 in the intervention group and control group, respectively. There was a statistically significant difference between the pre- test and post-test means on the Immunosuppressant Therapy Adherence Scale in the intervention group. The mean Immunosuppressant Therapy Adherence Scale score was higher in the intervention group. In the measurement of tacrolimus blood levels, medication adherence was found the be higher in the intervention group. The difference between the groups was statistically significant. There was a positive correlation between the tacrolimus blood levels and the Immunosuppressant Therapy Adherence Scale scores in both groups. Conclusions To conclude, our results have demonstrated that patient education and interviews improve immunosuppressant medication adherence in renal transplant recipients. Using direct or indirect methods proved similar outcomes, suggesting that both evaluation methods are safe.
Citation Count: 1
Evaluation of Depression, Anxiety, Stress, and Decision Regret in Kidney Transplant Recipients Depression, Anxiety, Stress, and Decision Regret in Kidney Transplantation
(Bayrakol Medical Publisher, 2023) Akıncı Akşit, Naile; Akinci, Naile; Hemşirelik Bölümü
Aim: This study aimed to evaluate decision regret, depression, anxiety, and stress scores in patients after kidney transplantation as well as the effects of patient characteristics on these variables. Material and Methods: This descriptive study enrolled 340 individuals who underwent kidney transplantation in a private hospital in Istanbul between January 2017 and February 2021. The study sample comprised 302 individuals who volunteered to participate in the study and met the inclusion criteria. The Patient Information Form, Depression, Anxiety, and Stress Scale (DASS 21), and Decision Regret Scale were used as data collection tools. Results: Mean depression, anxiety, stress, and decision regret scores were 2.454 +/- 3.427, 2.589 +/- 2.881, 1.825 +/- 2.073, and 18.311 +/- 20.123, respectively. Notably, these scores increased with an increase in age, and they were higher in single individuals, unemployed patients, nonbelievers, and those with chronic renal failure for a longer duration. Furthermore, depression, anxiety, and stress scores increased with increasing time after transplantation. In the present study, depression, stress, anxiety, and decision regret scores were significantly higher in patients who received transplants from their children. Discussion: The results of this study indicate that certain personal and clinical characteristics of kidney transplant recipients may affect depression, anxiety, stress, and decision regret after translation. Increasing the existing knowledge of such patients can minimize the risk of adverse effects of transplantation, including both somatic and psychological effects.