Analysis of related factors of self-management in kidney transplant recipients

WEI Chang-yun; GUO Xue-jie; ZHAO Pei-yu; LIU Jia; LIU Hong-xia

doi:10.16766/j.cnki.issn.1674-4152.002775

Volume 20 Issue 12

Dec. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(12): 2084-2087

WEI Chang-yun, GUO Xue-jie, ZHAO Pei-yu, LIU Jia, LIU Hong-xia. Analysis of related factors of self-management in kidney transplant recipients[J]. Chinese Journal of General Practice, 2022, 20(12): 2084-2087. doi: 10.16766/j.cnki.issn.1674-4152.002775

Citation:

WEI Chang-yun, GUO Xue-jie, ZHAO Pei-yu, LIU Jia, LIU Hong-xia. Analysis of related factors of self-management in kidney transplant recipients[J]. Chinese Journal of General Practice, 2022, 20(12): 2084-2087. doi: 10.16766/j.cnki.issn.1674-4152.002775

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Analysis of related factors of self-management in kidney transplant recipients

doi: 10.16766/j.cnki.issn.1674-4152.002775

1.
School of Nursing, Beijing University of Chinese Medicine, Beijing 100029, China

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81572235

Received Date: 2022-03-18
Available Online: 2023-02-07

Abstract

Abstract

Objective To analyze the current status of self-management at home of kidney transplant recipients and explore the effects of self-efficacy, anxiety, depression and self-management support to self-management. Methods Using the convenience sampling method, we selected 270 kidney transplant recipients (KTRs) in three class A tertiary hospitals (two hospitals in Beijing and one in Changsha) from October 2020 to February 2021 and administered the general data questionnaire, chronic disease self-efficacy scale, Hospital Anxiety and Depression Scale questionnaire, kidney transplant recipient self-management scale and self-management support scale. Results We collected 265 valid questionnaires, and the total score of self-management of KTRs was 95 (84, 103) points. For the dimensions, the scores were 35(30, 40) for the problem-solving subscale, 14 (12, 16) points for the partnership subscale and 45 (40, 49) points for the self-care behaviour subscale. Self-management of KTRs and their anxiety (r=-0.259, P < 0.01) and depression (r=-0.332, P < 0.01) were negatively correlated and showed a positive correlation with self-efficacy (r=0.399, P < 0.01) and self-management support (r=0.500, P < 0.01). The results of multiple linear stepwise regression analysis revealed that the age, residence, time after transplantation, depression, self-efficacy and self-management support were independent factors influencing self-management in KTRs (all P < 0.05). Conclusion The self-management level of renal transplant recipients is satisfactory, but half of the patients are still at a medium level. Nursing staff should pay attention to the KTRs' self-efficacy, negative emotions and self-management support on the influence of their self-management behaviour through psychological counselling, continuous nursing intervention and increased beneficial interaction with patients to improve the level of self-management.
- Kidney transplant recipients,
- Self-management,
- Related factors,
- Multiple regression

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Analysis of related factors of self-management in kidney transplant recipients

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