Adherence to pharmacological treatment after hematopoietic stem cell transplantation: context analysis
Larissa Beatriz Francisca de Souzaa, Katiane Domingos Soaresa, Allyne Fortes Vítora, Marcos Antônio Ferreira Júniorb, Viviane Euzébia Pereira Santosa, Isabelle Campos de Azevedoa
- aUniversidade Federal do Rio Grande do Norte, Brazil
- bUniversidade Federal de Mato Grosso do Sul, Brazil
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Abstract
OBJECTIVES: to analyze the contexts that influence adherence to pharmacological treatment after hospital discharge in patients in the post-hematopoietic stem cell transplantation phase. METHODS: context analysis based on the framework proposed by Hinds, Chaves, and Cypress, operationalized through a scoping review, in which 27 studies were selected to support the discussion. RESULTS: the data were grouped at each contextual level according to their particularities and are presented under the following subthemes: psychological, physical, and cognitive aspects of the patient; facilitators and barriers to medication management at home; particularities of the patient-professional relationship; institutional guidelines and programs for the care of patients after hematopoietic stem cell transplantation. FINAL CONSIDERATIONS: the contextual elements highlight the need to ensure holistic care, with the engagement of professionals, patients, and family members, as well as to recognize poor medication adherence as a potential public health issue.
TL;DRThe contextual elements highlight the need to ensure holistic care, with the engagement of professionals, patients, and family members, as well as to recognize poor medication adherence as a potential public health issue. (Semantic Scholar)