Adherence to pharmacological treatment after hematopoietic stem cell transplantation: context analysis - Revista Brasileira de Enfermagem

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.