Relationships among self-management, psycho-physical stress and health of kidney transplant recipients
Date Issued
2008
Date
2008
Author(s)
Weng, Li-Chueh
Abstract
【Background and specific aims】idney transplantation (KT) has emerged as the renal replacement therapy of choice for patients with end-stage renal disease. Advances in surgical and medical protocols have resulted in excellent survival rates. More recently, greater attention has also been given to quality of life (QOL). Many factors influence the health outcome of kidney transplant recipients including medical issues, knowledge, behavior and social background of patients. Evidences have been shown that self-efficacy and self-management are able to decrease individual’s physical and psychological stress and to improve health effectively. The purpose of this study is to examine the effect of self-efficacy and self-management on stress and health outcome of kidney transplant recipients.Methods】ogitudinal panel, descriptive correlational design and purpose sampling was employed in this study. One hundred and fifty kidney transplant recipients from single medical center participated. We have employed two data collection in six months apart dursing the period of August 2005 to Nomenber 2006. We use questionnaires which were developed by author for this study, Beck Depression Inventory and MOS SF-36 quality of life questionnaire as major data collecting tools. The data were analyzed by multiple linear regression methods.Results】he mean age of the participants was 41.79 years. The mean duration post the surgery was 4.64 years. Most of the participants have received the cadaver kidney transplantation (n=128, 85.3%). The highest score of the subscale of MOS SF-36 was “physical function, PF”, the lowest score was “general health, GH”. The renal graft function and the “physical health ” of quality of life was better at the second data collecting time. At the first data collection time, the average score of self-efficacy was 42.31, problem solving was 30.56, partnership was 11.94 and self-care behavior was 39.73. Participants who have higher self-efficacy will have better problem solving (β = 0.50), partnership (β= 0.44), and self-care behavior (β = 0.54). Self-efficacy had positive effect on quality of life indirectly (the total effect was 0.37). Self-efficacy can influence the self-care behavior and then had indirect effect on the quality of life. Self-care behavior has direct effect on the “mental health ” subscale of quality of life ( β = 0.25). The score of problem solving and partnership did not show any significant effect on quality of life. Conclusion】here are significant relationships among self-efficacy, self-management, physical and psychological stress, and quality of life of renal transplant recipients. These results can be used as the evidence base for the care practice of kidney transplantation. The results of this study also support that kidney transplantation care program should emphasis on promoting patient’s self-efficacy and self-management.
Subjects
Kidney transplantation
self-management
self-efficacy
quality of life
renal graft function
stress
SDGs
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