Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Self-care adherence in kidney transplant recipients: Convergence factors and elapsed time analysis

신장이식환자의 자가간호이행 영향 요인 및 경과기간별 이행정도

  • Bae, Su-Jung (Dept. of Nursing, Kemyung University Dongsan Medical Center) ;
  • Kim, Min-Young (Dept. of Nursing, Ulsan University)
  • Received : 2017.01.31
  • Accepted : 2017.03.20
  • Published : 2017.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to survey the effects of convergence factors and time elapsed after kidney transplantation on self-care adherence. The study included 235 patients; the data was collected from September, to October, 2014. Old age, female gender and duration of transplantation were identified as factors significantly affecting self-care adherence. Self-care adherence also showed significant differences depending on the elapsed time, and the decrease in self-care compliance was most evident between 1 and 5 years after kidney transplantation. Therefore, development of a nursing strategy that would provide education and self-care improvement programs is needed to improve self-care based on convergence factors and elapsed time.

본 연구는 신장이식 대상자의 자가간호이행에 영향을 주는 융복합 요인 및 경과기간에 따른 자가간호이행 정도를 파악하기 위해 시도된 연구이다. 연구대상은 신장이식을 받은 대상자 235명이며, 2014년 9월부터 10월까지 자료수집을 실시하였다. 자가간호이행도에 영향을 주는 융복합 요인으로는 나이가 많을수록(B=.007), 여자일수록(B=.157), 이식 후 경과기간이 짧을수록 (B=-.001) 자가간호이행도가 유의하게 높았다. 신장이식 후 1년 이상~5년 미만군부터 자가간호이행의 감소가 크게 나타났으며, 지속적으로 감소되었다. 신장이식 후 합병증 발생을 최소화 하고, 이식 신장을 건강하게 유지하기 위하여, 자가간호이행에 영향을 미치는 요인과 자가간호이행이 낮아지는 경과기간을 파악하여 자가간호를 강화시킬 수 있는 지속적이고 구체적인 자가간호 강화 프로그램을 개발하여 교육하는 것이 필요하다.

Keywords

References

  1. M. Suthanthiran, T. B. Strom, "Renal Transplantation. " New England Journal of Medicine, Vol. 331, No. 6, pp. 365-376, 1994. https://doi.org/10.1056/NEJM199408113310606
  2. Korean Network for Organ Sharing. "Current status of kidney transplantation", Retrieved from http://www.konos.go.kr/konosis (March 12, 2014)
  3. C. D. Kim,. "Kidney Transplantation." Korean Journal of Medicine, Vol. 86, No. 2, pp. 142-151, 2014. https://doi.org/10.3904/kjm.2014.86.2.142
  4. K. Denhaerynck, F. Dobbels, L. Cleemput, A. Desmyttere, P. Schafer-Keller, S. Schaub, S. DeGees, "Prevalence, consequences, and determinants of nonadherence in adult renal transplant patients: a literature review." Transplant International, Vol. 18, No. 10, pp. 1121-1133, 2005. https://doi.org/10.1111/j.1432-2277.2005.00176.x
  5. S. Y. Lin, S. J. Fetzer, P. C. Lee, C. H. Chen, " Predicting adherence to health care recommendations using health promotion behaviours in kidney transplant recipients within 1-5 years post-transplant." Journal of Clinical Nursing, Vol. 20, No. 23-24, pp. 3313-3321, 2011. https://doi.org/10.1111/j.1365-2702.2011.03757.x
  6. M. H. Shabany, J. M. Aliha, "Relationship between immunosuppressive medications adherence and quality of life and some patient factors in renal transplant patients in Iran." Global Journal of Health Science, Vol. 6, No. 4, pp. 205-212, 2014. https://doi.org/10.5539/gjhs.v6n4p205
  7. W. Y. Son, S. J. Hyun, N. M. Kim, O. J. Eum, C. G. Kim, D. J. Kim, S. G. Park, J. H. Lee, J. S. Kim, S. Lee, "The Effect of Compliance, Family Support and Graft Function on Quality of Life in Kidney Transplant Recipients." Journal of the Korean Society for Transplantation, Vol. 22, No. 2, pp. 254-261, 2008.
  8. Y. H. Hwang, M. A. Choe, "Study on the Compliance of Kidney Transplantation Recipients."Journal of Korean Critical Care Nursing, Vol. 4, No. 2, pp. 15-25, 2011.
  9. M. Y. Kim, E. J. Lee, E. A. Park, "Convergence for adherence: Subjectivity of immunosuppressive medication adherence after kidney transplantation patient."Journal of Digital Convergence, Vol. 13, No. 6, pp. 235-246, 2015. https://doi.org/10.14400/JDC.2015.13.6.235
  10. E. K. Massey, M. Tielen, M. Laging, D. K. Beck, R. Khemai, T. Gelder, W. Weimar, "The role of goal cognitions, illness perceptions and treatment beliefs in self-reported adherence after kidney transplantation: a cohort study."Journal of Psychosomatic Research, Vol. 75, No. 3, pp. 229-234. 2013. https://doi.org/10.1016/j.jpsychores.2013.07.006
  11. J. H. Ryu, M. H. Kim, K. I. Soon, "A study on the Compliance and Educational Demand of Renal Transplantation Patient."The Korean Journal of Rehabilitation Nursing, Vol. 6, No. 2, pp. 226-238, 2003.
  12. J. Y. Kim., D. J. Han, H. Y. Shin, W. G. Shin, J. M. Oh, "Risk Factors Affecting the Graft and Patient Survival in Kidney Transplant Patients." Korean Journal of Clinical Pharmacy, Vol. 16, No. 1, pp. 14-22, 2006.
  13. K. H. Oh, "A study of the relationship between renal transplant patient's health beliefs and their compliance with follow-up care."Ph. D. dissertation, Yonsei University, 1987.
  14. M. Rambod, M. Shabani, N. Shokrpour, F. Rafii, J. Mohammadalliha, "Quality of life of hemodialysis and renal transplantation patients." Health Care Manager, Vol. 30, No. 1, pp. 23-28. 2011. https://doi.org/10.1097/HCM.0b013e3182078ab6
  15. H. W. Kim, "Dependence of Elderly Peritoneal Dialysis Patients and Burden on Family Caregivers." Journal of Digital Convergence, Vol. 10, No. 9, pp. 429-434, 2012. https://doi.org/10.14400/JDPM.2012.10.9.429
  16. S. I. Kim, Y. S. Kim, M. S. Kim, E. C. Park, K. O. Jeon, S. Y. Son, M. L. Hahm, H. Y. Lee, "A Renal Transplantation and Hemodialysis Cost-Utility Analysis in Patients with End-Stage Renal Disease." Journal of the Korean Society for Transplantation, Vol. 24, No. 3, pp. 173-181, 2010. https://doi.org/10.4285/jkstn.2010.24.3.173
  17. K. J. Min, "Malignancy in Renal Transplant Recipients." Journal of the Korean Society for Transplantation, Vol. 23, No. 2, pp.130-134, 2009. https://doi.org/10.4285/jkstn.2009.23.2.130
  18. J. Hur, "The Development of Hemodiafiltration Treatment Compliance Indicators and Discriminant Standards, Development of Hemodiafiltration Treatment Compliance Measurement-Convergent Form(HDFTCM-CF)." Journal of Digital Convergence, Vol. 13, No. 7, pp. 269-282, 2015. https://doi.org/10.14400/JDC.2015.13.7.269
  19. O. A. Gheith, S. A. El-Saadany, S. A. Abuo Donia, Y. M. Salem, "Compliance with recommended life style behaviors in kidney transplant recipients: does it matter in living donor kidney transplant?" Iranian Journal of Kidney Diseases, Vol. 2, No. 4, pp. 218-226, 2008.
  20. G. O. Bae, Y. W. Lee,, W. S. Kim, J. Y. Im, "A Study on Stress, Hardiness, and Self-care in Kidney Transplant Patients." Journal of Korean Academic Society of Adult Nursing, Vol. 18, No. 1, pp. 136-145, 2006.
  21. Y. H. Hwang, M. S. Yi, "Evaluation of an Individualized Education before Discharge and Follow-up Telephone Consultation on Self-efficacy for Kidney Transplant Patients." Journal of Korean Biological Nursing Science, Vol. 17, No. 4, pp. 331-340, 2015. https://doi.org/10.7586/jkbns.2015.17.4.331
  22. D. Mazzoni, E. Cicognani, G. .Mosconi, V. Totti, G. S. Roi, M. Trerotola, A. Nanni Costa, " Sport activity and health-related quality of life after kidney transplantation." Transplantation Proceedings, Vol. 46, No. 7, pp. 2231-2234, 2014. https://doi.org/10.1016/j.transproceed.2014.07.049
  23. A. J. Hyun, "The Effect of the Self Efficacy Promotion and Exercise Training Program of Kidney Transplant Recipients." Journal of Korean Academy of Nursing, Vol. 30, No. 5, pp. 1181-1194, 2000. https://doi.org/10.4040/jkan.2000.30.5.1181
  24. H. W. Kim, "Fatigue and Fatigue-regulation Behavior in Hemodialysis Patients." Journal of Digital Convergence, Vol. 10, No. 5, pp. 301-305, 2012. https://doi.org/10.14400/JDPM.2012.10.5.301