Adesão ao tratamento e crenças de receptores acerca do transplante renal

Abstract

Chronic Kidney Disease is considered a public health problem since the growth in the number of individuals affected by this disease has increased each year. It is considered a disease with no possibility of cure, slow progression and that makes it impossible for the kidneys to perform their functions. Among the available treatments, one that offers better quality of life and survival for the patient is renal transplantation. Considering the pertinence of the matter, this research aimed to understand the beliefs about kidney transplantation in patients undergoing this surgical procedure. For the study, two methodological approaches were used: qualitative, which was performed with 34 renal transplant patients. As a result, there was a predominance of beliefs related to the perceived benefits in performing kidney transplantation compared to perceived difficulties, and beliefs about motivation for choosing a transplant and motivation for treatment were associated with beliefs about kidney transplantation and beliefs relating to perceived benefits. Regarding the quantitative study conducted with 82 renal transplant patients, a significant correlation was observed between SUS variables and motivation for change (p-value = 0.002). Prevalence of adherents was observed for all quartiles for beliefs of susceptibility and severity to another transplant. Conclusion: The results showed that the Health Belief Model is an adequate approach to the understanding of self-care behaviors.