Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Relationship between Readiness for Hospital Discharge and Self-care of Liver Transplant Recipients: A Single-center Prospective Study

간이식 환자의 퇴원 준비도와 자가간호와의 관계: 종단적 연구

  • Park, SunBok (School of Nursing, University of Virginia) ;
  • Choi, JiYeon (Mo-Im Kim Nursing Research Institute.College of Nursing, Yonsei University) ;
  • Joo, DongJin (Department of Surgery, Yonsei University College of Medicine, Severance Hospital) ;
  • Chu, SangHui (Mo-Im Kim Nursing Research Institute.College of Nursing, Yonsei University)
  • 박선복 (버지니아 대학교 간호학과) ;
  • 최지연 (연세대학교 간호대학.김모임간호학연구소) ;
  • 주동진 (연세대학교 의과대학 외과학교실, 세브란스병원) ;
  • 추상희 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2022.09.30
  • Accepted : 2022.11.24
  • Published : 2022.11.30
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Abstract

Purpose: The purpose of this longitudinal study was to identify the relationship between the readiness for hospital discharge and self-care changes in an early stage of liver transplantation after discharge. Methods: Data of 75 liver transplant recipients within one year of surgery from a transplantation center from May 2019 to May 2020 were collected for this study. Their readiness for discharge was measured before discharge. Self-care after liver transplantation was evaluated at one week, one month, and three months of discharge at outpatient visits. Linear mixed model was used to evaluate the statistical relationship. Results: The readiness for hospital discharge was significantly higher when the caregiver was a spouse (p=.027), with fewer post-transplantation days (p=.027), absence of acute rejection (p=.004), or high self-efficacy (p<.001). As a result of the linear mixed model analysis, the higher the discharge readiness score, the higher the self-care score (β=0.29, p<.001). However, after three months, their self-care had decreased regardless of their level of readiness for hospital discharge compared to one week after discharge. Conclusion: Improving the readiness before discharge is essential to enhance self-care. Also, active intervention at 3 months of discharge should be performed to check and promote their long-term self-care.

Keywords

Acknowledgement

본 연구는 서울시간호사회의 지원을 받아 작성되었음.

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