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

Turn off MathJax

Article Contents

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

Citation:

PDF( 437 KB)

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

Funds:

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

FullText(HTML)

References(22)

References

[1]	DUGGAL H S. Self-management of depression: Beyond the medical model[J]. Perm J, 2019, 23: 18-295. DOI: 10.7812/TPP/18-295.
[2]	XIE J, LIU J, LIU M, et al. Self-management and related psychosocial variables among renal transplant patients[J]. Transplant Proc, 2019, 51(3): 734-741. doi: 10.1016/j.transproceed.2019.01.033
[3]	JAMIESON N J, HANSON C S, JOSEPHSON M A, et al. Motivations, challenges, and attitudes to self-management in kidney transplant recipients: A systematic review of qualitative studies[J]. Am J Kidney Dis, 2016, 67(3): 461-478. doi: 10.1053/j.ajkd.2015.07.030
[4]	BRIONI E, ZOTTI G D, APUZZO L, et al. Self-efficacy and self-management in patients in hemodialysis: A narrative review of multidisciplinary theories[J]. G Ital Nefrol, 2021, 38(3): 2021-vol3. PMID: 34169692.
[5]	李嘉琪. 肾移植受者自我管理支持量表的编制及信效度检验[D]. 北京: 北京中医药大学, 2019. LI J Q. Preparation and reliability and validity test of the self-management support scale for kidney transplant recipients[D]. Beijing: Beijing University of Chinese Medicine, 2019.
[6]	翁丽雀. 肾脏移植手术后病人自我管理、身心压力及健康成果之关系探讨[D]. 中国台湾: 台湾大学, 2008. WENG L Q. Relationship among self-management, psycho-physical stress and health of kidney transplant recipients[D]. Taiwan: National Taiwan University, 2008.
[7]	LORIG K R, SOBEL D S, RITTER P L, et al. Effect of a self-management program on patients with chronic disease[J]. Eff Clin Pract, 2001, 4(6): 256-262.
[8]	曾旭婧, 姜小鹰. 福州市296例肾移植受者自我效能及其影响因素的调查研究[J]. 中华护理杂志, 2009, 44(9): 838-841. doi: 10.3761/j.issn.0254-1769.2009.09.028 ENG X Q, JIANG X Y. Self-efficacy and influential factors of 296 discharged renal transplant recipients in Fuzhou city of Fujian province[J]. Chin J Nurs, 2009, 44(9): 838-841. doi: 10.3761/j.issn.0254-1769.2009.09.028
[9]	HERRMANN C. International experiences with the Hospital Anxiety and Depression Scale: A review of validation data and clinical results[J]. J Psychosom Res, 1997, 42(1): 17-41. doi: 10.1016/S0022-3999(96)00216-4
[10]	刘蓓蓓, 邝瑞明, 黄间开, 等. 基于聚类分析对肾移植病人疾病感知与自我管理行为的研究[J]. 循证护理, 2020, 6(10): 1014-1019. doi: 10.12102/j.issn.2095-8668.2020.10.003 LIU B B, KUANG R M, HUANG J K, et al. Study on illness perception and self-management behavior of kidney transplant patients based on cluster analysis[J]. Chinese Evidence-based Nursing, 2020, 6(10): 1014-1019. doi: 10.12102/j.issn.2095-8668.2020.10.003
[11]	KO D, MUEHRER R J, BRATZKE L C. Self-management in liver transplant recipients: A narrative review[J]. Prog Transplant, 2018, 28(2): 100-115. doi: 10.1177/1526924818765814
[12]	KHEZERLOO S, MAHMOUDI H, NIA H S, et al. Predictors of self-management among kidney transplant recipients[J]. Urol J, 2019, 16(4): 366-370.
[13]	HU S M, LI Y, QUAN M T, et al. A study on the correlations of anxiety and depression with self-management ability and endogenous creatinine clearance rate in renal transplant recipients[J]. Front Psychiatry, 2021. DOI: 10.3389/fpsyt.2021.715509.
[14]	张美芬, 张利峰, 张俊娥, 等. 肾移植受者出院后自我管理行为与自我效能的相关性研究[J]. 护士进修杂志, 2009, 24(9): 778-780. doi: 10.3969/j.issn.1002-6975.2009.09.004 HANG M F, ZHANG L F, ZHANG J E, et al. The relevance study of self-management behaviors and self-efficacy for out-patients after kidney transplantation[J]. Journal of Nurses Training, 2009, 24(9): 778-780. doi: 10.3969/j.issn.1002-6975.2009.09.004
[15]	BANDURA A, National Inst of Mental Health. Social foundations of thought and action: A social cognitive theory[M]. New Jersey: Prentice Hall, 1986: 37-38.
[16]	曾旭婧. 肾移植受者心理弹性与自我效能、应对方式、社会支持的相关性[J]. 解放军护理杂志, 2019, 36(5): 25-28. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201905010.htm ZENG X J. Impacts of Self-efficacy, Coping style, and Social Support on Psychological Resilience in Kidney Transplant Recipients[J]. Nurs J Chin PLA, 2019, 36(5): 25-28. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201905010.htm
[17]	孙莹莹, 张曙伟. 延续护理在肾移植受者自我管理能力中的应用效果[J]. 中国现代医生, 2019, 57(22): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201922036.htm SUN Y Y, ZHANG S W. Application effect of continuous nursing in self-management ability of kidney transplant recipients[J]. China Modern Doctor, 2019, 57(22): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201922036.htm
[18]	王文娇. 个案管理模式对肾移植受者健康相关生活质量的效果研究[D]. 郑州: 郑州大学, 2020. WANG W J. Effect of case management model on health-related quality of life in kidney transplant recipients[D]. Zhengzhou: Zhengzhou University, 2020.
[19]	佳丽廖. 跨理论模型对肾移植患者自我效能影响[J]. 医学研究, 2019, 1(6): 203-204. JIA L L. Effect of a cross-theoretical model on self-efficacy in renal transplant patients[J]. Journal of Medical Research, 2019, 1(6): 203-204.
[20]	DENNIS C. Peer support within a health care context: A concept analysis[J]. Int J Nurs Stud, 2003, 40(3): 321-332. doi: 10.1016/S0020-7489(02)00092-5
[21]	李鹭, 杜利利, 马媛. 延续护理对出院后肾移植受者自我管理及生活质量的影响分析[J]. 首都食品与医药, 2018, 25(12): 69. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSD201812060.htm LI L, DU L L, MA Y. Analysis of the impact of continuation care on self-management and quality of life in discharged renal transplant recipients[J]. Capital Food Medicine, 2018, 25(12): 69. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSD201812060.htm
[22]	王建立, 钱雷, 刘杰, 等. 巨大多囊肾尿毒症患者多囊肾切除同期肾移植术临床分析[J]. 中华实用诊断与治疗杂志, 2019, 33(8): 805-806. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201908023.htm WANG J L, QIAN L, LIU J, et al. Intraperitoneal bilateral nephrectomy followed by kidney transplantation for giant polycystic kidney disease induced uremia[J]. Journal of Chinese Practical Diagnosis and Therapy, 2019, 33(8): 805-806. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201908023.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (311) PDF downloads(25)

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

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

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content