Journal of Korean Academy of Nursing

Research Paper

Lived Experience of Kidney Transplant Recipients with Kidney Graft Failure: Hwang, Younghui , Min, Kyoungok , Son, Haeng-Mi; J Korean Acad Nurs 2024;54(1):93-105. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23113

Abstract PDF: Purpose
The study aimed to understand the semantic structure and nature of the disease experience of kidney transplant recipients with kidney graft failure by applying phenomenological research methods.
Methods
Data were collected between February and September 2021 through individual in-depth interviews with 12 kidney transplant recipients with kidney graft failure. Colaizzi’s phenomenological analysis was used to analyze the meaning of the participants’ illness experiences.
Results
5 theme clusters and 15 themes were derived. The five theme clusters are as follows: (1) First transplant giving me a second life; (2) Body and mind becoming sick again; (3) Waiting for a re-transplant with hope and worry; (4) Life supported by gratefulness; (5) Having control over my own life.
Conclusion
This study shows that kidney transplant recipients with kidney graft failure experience physical and psychological difficulties during the long disease period and require help from many people, including family members, friends, colleagues, and health care providers, to overcome their difficulties.

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Original Articles

Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory: Hye Won Jeong, Hyang Sook So; J Korean Acad Nurs 2018;48(6):731-742. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.6.731

Abstract PDF

Abstract Purpose

The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory.

Methods

Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0.

Results

The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients.

Conclusion

It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

Citations

Citations to this article as recorded by

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Hyeiyeon Im, Hye-Young Jang
Heliyon.2024; 10(24): e40237. CrossRef
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Pacific Rim International Journal of Nursing Research.2024; 28(2): 280. CrossRef
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Mi Kyung Sim, Sun Young Son, Man Ki Ju
Korean Journal of Transplantation.2022; 36(1): 37. CrossRef
Factors associated with health-related quality of life in kidney transplant recipients in Korea
Younghui Hwang, Misook Kim, Kyoungok Min, Frank JMF Dor
PLOS ONE.2021; 16(3): e0247934. CrossRef
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Misoon Lee, Haejung Lee, Sookyung Hyun, Seon-Hwa Ban
Korean Journal of Adult Nursing.2021; 33(4): 305. CrossRef
Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study
Hye Won Jeong, Chi Eun Song, Minjeong An, Lucy E. Selman
PLOS ONE.2021; 16(6): e0248947. CrossRef
Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
Yoonjung Kim, Sanggeon Park
STRESS.2019; 27(4): 320. CrossRef

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The Effects of an Empowerment Education Program for Kidney Transplantation Patients: Sung Hee Kim, Hye Sook You; J Korean Acad Nurs 2017;47(4):445-455. Published online August 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.445

Abstract PDF

Purpose

This study was conducted to develop an Empowerment Education Program (EEP) for kidney transplant patients and to test the program's effects on uncertainty, self-care ability, and compliance.

Methods

The research was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 53 outpatients (experimental group: 25, control group: 28) who were receiving hospital treatment after kidney transplants. After the pre-test, patients in the experimental group underwent a weekly EEP for six weeks. The post-test was conducted immediately after, and four weeks after the program's completion in the same manner as the pre-test. For the control group, we conducted a post-test six and ten weeks after the pre-test, without and program intervention. A repeated measure ANOVA was performed to compare the change scores on main outcomes.

Results

Uncertainty was significantly lower in the experimental group than in the control group, both immediately after (t=-3.84, p=<.001) and 4 weeks after (t=-4.51 p=<.001) the program, whereas self-care ability (t=5.81, p=<.001), (t=5.84, p=<.001) and compliance (t=5.07, p=<.001), (t=5.45, p=<.001) were significantly higher.

Conclusion

Kidney transplant patients who underwent an EEP showed a decrease in uncertainty and an improvement in self-care ability and compliance. Thus, our findings confirmed that an EEP can be an independent intervention method for improving and maintaining the health of kidney transplant patients.

Citations

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The effectiveness of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients: A systematic review and meta-analysis
Seung Yeon Park, Lee Hwa Kwak
The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 263. CrossRef
An integrative literature review of kidney transplantation knowledge tools
Chan Mi Kang, Hyejin Lee, Justyna Gołębiewska
PLOS ONE.2023; 18(1): e0281073. CrossRef
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Andreja Hrovat Bukovšek, Bojana Filej
Pielegniarstwo XXI wieku / Nursing in the 21st Century.2023; 22(2): 79. CrossRef
The Effect of Empowering Education Combined With Mindfulness Meditation Training on Negative Emotion and Quality of Life in Patients With Inflammatory Bowel Disease
Wei-Zhen Xi, Chong-Wu Xu, Ling-Ling Wang
Frontiers in Behavioral Neuroscience.2022;[Epub] CrossRef
Clinical outcomes of a nurse-led post-discharge education program for heart-transplant recipients: A retrospective cohort study
Ji Hyeon Lee, Seok-Min Kang, Young Ah. Kim, Sang Hui Chu
Applied Nursing Research.2021; 59: 151427. CrossRef
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Jiyoung Kim, Nayeon Shin, Kyungmi Lee
Clinical Nursing Research.2021; 30(8): 1241. CrossRef
Development of a Mobile App-Based Self-care Health Diary for Heart Transplant Recipients
Hye Jin Yoo, Eunyoung E. Suh
CIN: Computers, Informatics, Nursing.2021; 39(11): 804. CrossRef
Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory
Hye Won Jeong, Hyang Sook So
Journal of Korean Academy of Nursing.2018; 48(6): 731. CrossRef

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Psychosocial Adjustment after Kidney Transplantation: Myungsun Yi; Journal of Korean Academy of Nursing 1998;28(2):291-302. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.291

Abstract PDF

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family. They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.

Citations

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A Study on Dispatched Nursing during the Japanese Colonial Era
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Journal of Korean Academy of Nursing.2021; 51(2): 138. CrossRef
Adaptation Experience of Living Kidney Donors after Donation
Da-Hai-Som Kang, Jinhyang Yang
Journal of Korean Academy of Nursing.2016; 46(2): 271. CrossRef

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