#2702 ANALYSIS OF IMMUNOSUPPRESSANT ADHERENCE, TREATMENT PREFERENCES AND NEEDS, AND MENTAL HEALTH DISORDERS IN THE POST-TRANSPLANTATION PERIOD

Abstract

Abstract Background and Aims Medical treatment after kidney transplantation is not enough to assure optimal outcomes due to emotional factors that contribute on graft survival. To incorporate patient´s treatment preferences in clinical practice improves health outcomes. Few is known about treatment preferences and needs of kidney transplant population. The aims of the study were to quantify mental health disorders prevalence, immunosuppressive adherence, treatment preferences and needs of Spanish kidney transplant patients in post-transplantation period. Method Transversal-observational study in stable kidney transplant patients from one center in Madrid-Spain. Demographics, social-clinical variables, validated questionaries for anxiety, depression, stress, resilience, life satisfaction and quality of life related with health, and an ad-hoc survey of treatment preferences and needs were applied. Results A total of 116 patients were included, 25% had mental health pathology before transplant. Mental health disorders prevalence for depression, anxiety and stress were 26%, 27% and 23.3% respectively. Life satisfaction screening revealed only 29% of patients very satisfied with life. Patients with lower scores in mental health tests were significatively related with poor immunosuppressive adherence (P = .004). Treatment preferences and needs identified were how to improve physical condition (47%), information for anxiety and/or depression management (37%), and to receive psychological therapy from Nephrology Service (95%). See Table 1 and 2 for results. Conclusion Mental health disorders prevalence in Spanish kidney transplanted patients were high and had a negative impact in immunosuppressive adherence. This demands a biopsychosocial, interdisciplinary, focused on patient´s treatment preferences approach, individually and in groups from Nephrology Service.