Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Self-care, Social Support, and Biological Markers in Liver Transplant Recipients

간이식 수혜자의 자가간호이행, 사회적 지지, 생리학적 지표

  • Kim, Hyunkyung (Yonsei University Health System.Severance Hospital) ;
  • Choi, Mona (College of Nursing.Nursing Policy Research Institute, Yonsei University) ;
  • Kim, So Sun (College of Nursing.Nursing Policy Research Institute, Yonsei University) ;
  • Kim, Soon-Il (Department of Surgery, College of Medicine, Yonsei University)
  • 김현경 (연세대학교 의료원.세브란스병원) ;
  • 최모나 (연세대학교 간호대학.간호정책연구소) ;
  • 김소선 (연세대학교 간호대학.간호정책연구소) ;
  • 김순일 (연세대학교 의과대학 외과학교실)
  • Received : 2015.01.06
  • Accepted : 2015.04.13
  • Published : 2015.04.30
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Abstract

Purpose: To examine the relationships between self-care, social support, and biological markers in liver transplant recipients. Methods: The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheff$\acute{e}$ post-hoc test, and Pearson's correlation. Results: The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001). Conclusion: As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.

Keywords

References

  1. Lee SG. Current status of liver transplantation in Korea. The Korean Society of Gastroenterology. 2005;46(2):75-83.
  2. McGuire BM, Rosenthal P, Brown CC, Busch AMH, Calcatera SM, Claria RS, et al. Long term management of the liver transplant patient: recommendations for the primary care doctor. American Journal of Transplantation. 2009;9(9):1988-2003. http://dx.doi.org/10.1111/j.1600-6143.2009.02733.x
  3. Korean Network for Organ Sharing. Annual report of transplant 2011 [Internet] Seoul: Korean Network for Organ Sharing; 2011[cited 2012 September 27] Available from: http://www.konos.go.kr
  4. Kim EM, Seo MJ. Liver transplant recipient, adjustment, phenomenology. Korean Academic Society of Rehabilitation Nursing. 2003;6(1):61-9.
  5. Bownik H, Saab S. Health related quality of life after liver transplantation for adult recipients. Liver Transplantation. 2009;15(S2):S42-9. http://dx.doi.org/10.1002/lt.21911
  6. Ha HS, Jeong JS, Chae YR, Hong JJ, Kim IO, Yi MS, et al. Psychosocial adjustment of the organ transplantation recipients in Korea. The Journal of the Korean Society for Transplantation. 2007;21(2):269-81.
  7. Orr A, Orr D, Willis S, Holmes M, Britton P. Patient perceptions of factors influencing adherence to medication following kidney transplant. Psychology, Health & Medicine. 2007; 12(4):509-17. http://dx.doi.org/10.1080/13548500701294556
  8. Pfitzmann R, Nussler NC, Hippler Benscheidt M, Neuhaus R, Neuhaus P. Long term results after liver transplantation. Transplant International. 2008;21(3):234-46. http://dx.doi.org/10.1111/j.1432-2277.2007.00596.x
  9. Kugler C, Geyer S, Gottlieb J, Simon A, Haverich A, Dracup K. Symptom experience after solid organ transplantation. Journal of Psychosomatic Research. 2009;66(2):101-10. http://dx.doi.org/10.1016/j.jpsychores.2008.07.017
  10. Achille MA, Ouellette A, Fournier S, Vachon M, Hebert MJ. Impact of stress, distress and feelings of indebtedness on adherence to immunosuppressants following kidney transplantation. Clinical Transplantation. 2006;20(3):301-6. http://dx.doi.org/10.1111/j.1399-0012.2005.00478.x
  11. Gallant MP. The influence of social support on chronic illness self-management: a review and directions for research. Health Education & Behavior. 2003;30(2):170-95. http://dx.doi.org/10.1177/1090198102251030
  12. Lee SG. Current Status of Liver transplantation in Korea. The Korean Society of Gastroenterology. 2005;46(2):75-83.
  13. Lee SO. Infectious complication after liver transplantation. The Korean Association for the Study of the Liver. 2012;2012(2):66-72.
  14. Yoon JS. The effect of discharge education on the self care performance for liver transplantation patients. [master's thesis]. Seoul: Seoul National University; 2007.
  15. Lamba S, Nagurka R, Desai KK, Chun SJ, Holland B, Koneru B. Self reported non adherence to immune suppressant therapy in liver transplant recipients: demographic, interpersonal, and intrapersonal factors. Clinical Transplantation. 2012;26(2):328-35. http://dx.doi.org/10.1111/j.1399-0012.2011.01489.x
  16. Yoo SJ. Effect of discharge education on the self-care performance for the schizophrenics. [dissertation]. Seoul: Seoul National University; 1991.
  17. Kim OS. A study on the correlation between perceived social support and the quality of life of hemodialysis patients. [master's thesis]. Seoul: Seoul National University; 1993.
  18. Lynn, M. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-5.
  19. Statistics Korea. 2011. Life tables for Korea [Internet]. Seoul: Statistics Korea; 2012 [cited 2013 March 22] Available from: http://kosis.kr/
  20. Sabbatini M, Crispo A, Pisani A, Gallo R, Cianciaruso B, Fuiano G, et al. Sleep quality in renal transplant patients: a never investigated problem. Nephrology Dialysis Transplantation. 2005;20(1):194-8. http://dx.doi.org/10.1093/ndt/gfh604
  21. Karam VH, Gasquet I, Delvart V, Hiesse C, Dorent R, Danet C, et al. Quality of life in adult survivors beyond 10 years after liver, kidney, and heart transplantation. Transplantation. 2003;76(10):1699-704. http://dx.doi.org/10.1097/01.TP.0000092955.28529.1E
  22. DiMartini A, Javed L, Russell S, Dew MA, Fitzgerald MG, Jain A, et al. Tobacco use following liver transplantation for alcoholic liver disease: an underestimated problem. Liver Transplantation. 2005;11(6):679-83. http://dx.doi.org/10.1002/lt.20385
  23. Park TJ, Koh HS. Oral health status and dental treatment need of liver transplant candidates. Korean Academy of Orofacial Pain and Oral Medicine. 2009;34(1):1-9.
  24. Danzinger-Isakov L, Kumar DAST. Infectious disease community of practice. guidelines for vaccination of solid organ transplant candidates and recipients. American Journal of Transplantation. 2009;9(s4):S258-S262. http://dx.doi.org/10.1111/j.1600-6143.2009.02917.x
  25. Jerant A, Moore M. Lorig K, Franks P. Perceived control moderated the self-efficacy-enhancing effects of a chronic illness self-management intervention. Chronic Illness. 2008;4(3):173-82. https://doi.org/10.1177/1742395308089057
  26. Kim HS, Kim HY. Factors predicting medication compliance among elderly visitors of public health centers. Journal of Korean Academy of Community Health Nursing. 2007;18(1):5-13.
  27. Ryu JH, Kim MH, Kang IS. A study on the compliance and educational demand of renal transplantation patient. The Korean Journal of Rehabilitation Nursing. 2003;6(2):226-38. http://www.dbpia.co.kr/Publication/615
  28. Son WY, Hyun SJ, Kim NM, Eum OJ, Kim CG, Kim DJ, et al. The effect of compliance, family support and graft function on quality of life kidney transplant recipients. The Journal of the Korean Society for Transplantation. 2008;22(2):254-61.
  29. Lee MS. Psychosocial adjustment after kidney transplantation. The Korean Society of Nursing Science. 1998;28(2):291-302.
  30. Wang LY, Chang PC, Shih FJ, Sun CC, Jeng C. Self-care behavior, hope, and social support in Taiwanese patients awaiting heart transplantation. Journal of Psychosomatic Research. 2006;61(4):485-91. http://dx.doi.org/10.1016/j.jpsychores.2004.11.013

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