Volume 21, Issue 8 (11-2023)
Nursing and Midwifery Journal 2023, 21(8): 653-663 |
Back to browse issues page
Ethics code: (کد کمیته اخلاق: IR.BMSU.REC.1395.304)
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
khezerloo S, Mahmoudi H, Vafadar Z, sharifnia H. SELF-MANAGEMENT BEHAVIORS IN KIDNEY TRANSPLANT RECIPIENTS: QUALITATIVE CONTENT ANALYSIS. Nursing and Midwifery Journal 2023; 21 (8) :653-663
URL: http://unmf.umsu.ac.ir/article-1-4984-en.html
URL: http://unmf.umsu.ac.ir/article-1-4984-en.html
1- Assistant Professor in Nursing, Department of Nursing & Midwifery, Khoy University of Medical Sciences, Khoy, Iran, (Corresponding Author) , khezerloos@yahoo.com
2- Professor in nursing Education, Trauma Research Center and Faculty of nursing, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
3- Associate professor, Health Management Research Center, Medical- surgical department, Nursing faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
4- Associate professor, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2- Professor in nursing Education, Trauma Research Center and Faculty of nursing, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
3- Associate professor, Health Management Research Center, Medical- surgical department, Nursing faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
4- Associate professor, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
Abstract: (2628 Views)
Background & Aim: Self-management in kidney transplant patients leads to increased tissue survival time, reduced graft rejection, early identification of drug side effects, and increased quality of life. Kidney transplant patients have poor self-management behaviors. Knowing how kidney transplant patients should encounter and manage them will improve transplant outcomes. This study was conducted to explain the self-management behaviors of kidney transplant recipients.
Materials & Methods: This qualitative study was done with eighteen participants. Participants were selected through purposive sampling. Data were collected through in-depth and semi-structured interviews and analyzed through qualitative conventional content analysis.
Results: The findings included a theme of trying to achieve balance and stability in life and six main categories of lifestyle modification, physical self-care, self-efficacy, resilience, adaptation to new roles and treatment management.
Conclusion: The results showed the participants tried to achieve balance and stability after a kidney transplant. A kidney transplant can be considered an event that initiates a period of instability after a long period of illness and health deterioration. Therefore, self-management programs should focus on supporting patients in restoring stability in their lives after kidney transplantation.
Materials & Methods: This qualitative study was done with eighteen participants. Participants were selected through purposive sampling. Data were collected through in-depth and semi-structured interviews and analyzed through qualitative conventional content analysis.
Results: The findings included a theme of trying to achieve balance and stability in life and six main categories of lifestyle modification, physical self-care, self-efficacy, resilience, adaptation to new roles and treatment management.
Conclusion: The results showed the participants tried to achieve balance and stability after a kidney transplant. A kidney transplant can be considered an event that initiates a period of instability after a long period of illness and health deterioration. Therefore, self-management programs should focus on supporting patients in restoring stability in their lives after kidney transplantation.
Type of Study: Qualitative |
Subject:
پرستاری
References
1. Memory KE, Wilkinson TJ, Smith AC, Lightfoot CJ. A qualitative exploration of the facilitators and barriers to self-management in kidney transplant recipients. J Nephrol 2022;35(7):1863-72. [DOI:10.1007/s40620-022-01325-w] [PMID] []
2. Schmid-Mohler G, Schäfer-Keller P, Frei A, Fehr T, Spirig R. A mixed-method study to explore patients' perspective of self-management tasks in the early phase after kidney transplant. Prog Transplant 2014;24(1):8-18. [DOI:10.7182/pit2014728] [PMID]
3. Khezerloo S, Mahmoudi H, Nia HS, Vafadar Z. Predictors of self-management among kidney transplant recipients. Urol J 2019;16(4):366-70. [Google Scholar]
4. Trolinger M. Kidney Transplant for the Twenty-First Century. Physician Assistant Clinics. 2016;1(1):205-20. [DOI:10.1016/j.cpha.2015.09.012]
5. Rijken M, Bekkema N, Boeckxstaens P, Schellevis FG, De Maeseneer JM, Groenewegen PP. Chronic Disease Management Programmes: an adequate response to patients' needs? Health Expect 2014;17(5):608-21. [DOI:10.1111/j.1369-7625.2012.00786.x] [PMID] []
6. Van Dyke K. Transplantation Rejection☆. Reference Module in Biomedical Sciences: Elsevier; 2014. [DOI:10.1016/B978-0-12-801238-3.05377-0]
7. Been‐Dahmen JM, Grijpma JW, Ista E, Dwarswaard J, Maasdam L, Weimar W, et al. Self‐management challenges and support needs among kidney transplant recipients: A qualitative study. J Adv Nurs 2018;74(10):2393-405. [DOI:10.1111/jan.13730] [PMID]
8. Medscape. Kidney Transplantation Patients Have High Readmission Rates. October 3, 2016: Available at http://www.medscape.com/viewarticle/772950. [URL]
9. Pascazio L, Nardone IB, Clarici A, Enzmann G, Grignetti M, Panzetta GO, et al. Anxiety, depression and emotional profile in renal transplant recipients and healthy subjects: a comparative study. Transplant Proc 2010 Nov;42(9):3586-90. PubMed PMID: 21094820. Epub 2010/11/26. eng. [DOI:10.1016/j.transproceed.2010.08.056] [PMID]
10. Barutcu Atas D, Aydin Sunbul E, Velioglu A, Tuglular S. The association between perceived stress with sleep quality, insomnia, anxiety and depression in kidney transplant recipients during Covid-19 pandemic. PLoS One 2021;16(3):e0248117. [DOI:10.1371/journal.pone.0248117] [PMID] []
11. Uyar B. The analysis of immunosuppressant therapy adherence, depression, anxiety, and stress in kidney transplant recipients in the post-transplantation period. Transpl Immunol 2022; 75:101686. [DOI:10.1016/j.trim.2022.101686] [PMID]
12. Khezerloo S, Mahmoudi H, Nia HS, Vafadar Z. Predictors of self-management among kidney transplant recipients. Urol J. 2019;16(4):366. [PMID]
13. Khezerloo S, Mahmoudi H, Vafadar Z. Evaluating the psychometric properties of the persian self-management scale for kidney transplant recipients. Urol J 2019;16(2). [Google Scholar]
14. Hariharan S, Israni AK, Danovitch G. Long-term survival after kidney transplantation. N Engl J Med 2021;385(8):729-43. [DOI:10.1056/NEJMra2014530] [PMID]
15. Grijpma J, Tielen M, van Staa A, Maasdam L, van Gelder T, Berger S, et al. Kidney transplant patients' attitudes towards self-management support: A Q-methodological study. Patient Educ Couns 2016;99(5):836-43. [DOI:10.1016/j.pec.2015.11.018] [PMID]
16. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 2002;48(2):177-87. [DOI:10.1016/S0738-3991(02)00032-0] [PMID]
17. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. Jama 2002;288(19):2469-75. [DOI:10.1001/jama.288.19.2469] [PMID]
18. Eslami S, Khoshrounejad F, Golmakani R, Taherzadeh Z, Tohidinezhad F, Mostafavi SM, et al. Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review. BMC Med Inform Decis Mak 2021;21(1):1-16. [DOI:10.1186/s12911-020-01360-2] [PMID] []
19. Weng LC, Dai YT, Wang YW, Huang HL, Chiang YJ. Effects of self‐efficacy, self‐care behaviours on depressive symptom of Taiwanese kidney transplant recipients. J Clin Nurs 2008;17(13):1786-94. [DOI:10.1111/j.1365-2702.2007.02035.x] [PMID]
20. Ranahan M, Von Visger J, Kayler LK. Describing barriers and facilitators for medication adherence and self‐management among kidney transplant recipients using the information‐motivation‐behavioral skills model. Clin Transplant 2020;34(6):e13862. [DOI:10.1111/ctr.13862] [PMID]
21. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2):105-12. [DOI:10.1016/j.nedt.2003.10.001] [PMID]
22. Lincoln YS, Guba EG. Naturalistic inquiry. sage; 1985. [DOI:10.1016/0147-1767(85)90062-8]
23. Klimmek R, Wenzel J, editors. Adaptation of the illness trajectory theory to describe the work of transitional cancer survivorship. Oncology nursing forum; 2012: NIH Public Access. [DOI:10.1188/12.ONF.E499-E510] [PMID] []
24. Mouelhi Y, Jouve E, Alessandrini M, Pedinielli N, Moal V, Meurette A, et al. Factors associated with health-related quality of life in kidney transplant recipients in France. BMC Nephrol 2018;19(1):1-12. [DOI:10.1186/s12882-018-0893-6] [PMID] []
25. Ranaee Y, Alhani F, Nezhad AK, Mehrdad N. The Effect of Lifestyle Modification Through E-learning on Self-management in Patients with Diabetes. J Nurs Educ 2018;7(2):11-20. [URL]
26. Legendre C, Canaud G, Martinez F. Factors influencing long‐term outcome after kidney transplantation. Transpl Int 2014;27(1):19-27. [DOI:10.1111/tri.12217] [PMID]
27. Yan L, Lin J, Zhao C, Xiong C. The effects of collaborative care model (CCM) guided nursing practice on the self-management and self-efficacy of kidney transplant recipients. Int J Clin Exp Med 2021;14(1):356-64. [Google Scholar]
28. Guo L, Li L, Lu Y, Li T, Chen L, Jiang L, et al. Effects of empowerment education on the self-management and self-efficacy of liver transplant patients: a randomized controlled trial. BMC Nurs 2023;22(1):146. [DOI:10.1186/s12912-023-01298-6] [PMID] []
29. Julaieha S, Puladi RA, Lak A, Noorbala AA, Saffarinia M. The role of resiliency and age to adjustment in patients with signs and symptoms of chronic pain. 2016. [URL]
30. Small N, Bower P, Chew-Graham CA, Whalley D, Protheroe J. Patient empowerment in long-term conditions: development and preliminary testing of a new measure. BMC Health Serv Res 2013;13(1):263. [DOI:10.1186/1472-6963-13-263] [PMID] []
31. Chen KH, Chen ML, Lee S, Cho HY, Weng LC. Self‐management behaviours for patients with chronic obstructive pulmonary disease: a qualitative study. J Adv Nurs 2008;64(6):595-604. [DOI:10.1111/j.1365-2648.2008.04821.x] [PMID]
32. Taeby M, Heidar Ali A, Abbasszadeh A, Kazemi M. Self-management resources following coronary artery bypass graft. J Qual Res Health 2015;4(1):50-61. [Google Scholar]
33. Salminen-Tuomaala M, Åstedt-Kurki P, Rekiaro M, Paavilainen E. Coping experiences: a pathway towards different coping orientations four and twelve months after myocardial infarction-a grounded theory approach. Nurs Res Pract 2012;2012. [DOI:10.1155/2012/674783] [PMID] []
34. Novak M, Costantini L, Schneider S, Beanlands H, editors. Approaches to self‐management in chronic illness. Seminars in dialysis; 2013: Wiley Online Library. [DOI:10.1111/sdi.12080] [PMID]
35. Anderson E, Durstine JL. Physical activity, exercise, and chronic diseases: A brief review. Sports MedHealth Sci 2019;1(1):3-10. [DOI:10.1016/j.smhs.2019.08.006] [PMID] []
36. Krok-Schoen JL, Fernandez K, Unzeitig GW, Rubio G, Paskett ED, Post DM. Hispanic breast cancer patients' symptom experience and patient-physician communication during chemotherapy. Support Care Cancer 2019;27:697-704. [DOI:10.1007/s00520-018-4375-y] [PMID]
37.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir