Adherence to liver transplantation treatment: An integrative review

Abstract

Objective: to evaluate the interventions of the multidisciplinary team that provide improvements in adherence to treatment after liver transplantation. Method: integrative review of the literature. The inclusion criteria were articles published between 2012 and 2017, in the Portuguese, English and Spanish languages, performed with the adult population that had undergone liver transplantation. Results: the initial search resulted in 84 publications, with 10 studies being selected. The data were tabulated according to the relevance of the content, objectives, type of intervention, number of patients and level of evidence. Four analytical categories were found: educational interventions; adoption of an individual therapeutic plan; change in the immunosuppressive regimen; emotional and psychological support and strengthening of the support network. Conclusion: the multidisciplinary team should provide information about the transplantation process, perform appropriate management of immunosuppression, regularly assess the patients for signs of depression and anxiety, investigate their beliefs and values, and institute an individualized care plan.