Non-compliance following renal transplantation in children and adolescents View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-11

AUTHORS

Georg Wolff, Karin Strecker, Udo Vester, Kay Latta, Jochen H. H. Ehrich

ABSTRACT

Reported frequencies of non-compliance in children with end-stage renal disease range from 8% to 70% with a mean around 40%. Sequelae amount to momentous emotional and financial burdens, including the loss of 7% of transplanted organs. Reasons for non-compliance have too often been attributed selectively to the patients (e.g., emotional, mental, social, or communication problems). Compared with general compliance research, this selective attribution appears to be too simplistic. Selective attribution neglects the patients' experiences within the context of disease and treatment and prevents open communication about non-compliance. Research on personal reasons for non-compliance is scarce. In psychological interviews, a third of our 85 patients with end-stage renal disease (34 boys, 51 girls, mean age 12.7 years, range 7.4-19.3 years) communicated psychologically meaningful reasons for non-compliance, frequently related to interrelational and systemic treatment conditions. Patients indirectly asked for more communication about their subjective reasons for non-compliance. More... »

PAGES

703-708

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s004670050531

DOI

http://dx.doi.org/10.1007/s004670050531

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032518091

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9874312


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