Rebound map for water drop impacts on tilted surfaces

Introduction and objectives Failure of compliance with the medical regimen is one of the major risk factors associated with morbidity and mortality in heart transplantation patients. The aim of this study is to evaluate the influence of some psychosocial factors, such as the presence of pre-transplant psychiatric disorders, and coping strategies and family support measured after 12 months, in the compliance with the medical regimen in cardiac transplantation patients. Methods A prospective observational study was conducted over a period of 16 months to evaluate 22 subjects included in a heart transplantation program. Patients were assessed in the pre-transplant period and one year after transplantation. The evaluation collected medical history and sociodemographic data, clinical measurement of depression and anxiety, a structured psychiatric interview, coping strategies, family function questionnaire, and a tool designed to measure the compliance with the medical regimen. Results More than one-quarter (27%) of patients had a psychiatric disorder in the pre-transplant evaluation. The most frequently used coping strategies were acceptance and positive re-interpretation. Correlation analysis showed that there is a greater non-compliance with less family support and greater use of interpersonal coping strategies. No correlation was found between psychiatric conditions and compliance with guidelines. The overall percentage of non-compliance was 36.6%. Conclusions It has been shown that family support is an important factor associated with compliance with the medical regimen in patients with cardiac transplantation and, despite receiving adequate support, there is a high rate of non-compliance. © 2013 Elsevier España, S.L. All rights reserved.