Journal of Korean Academy of Nursing

Research Papers

The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members: Bang, Miseon , Kwon, Suhye; J Korean Acad Nurs 2022;52(4):435-450. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22043

Purpose
The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family.
Methods
Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi’s phenomenological research method.
Results
The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other".
Conclusion
The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.

Citations

Citations to this article as recorded by

Challenges and support needs among family caregivers involved in solid organ transplant care process: a scoping review protocol
Shi He, Ningbin Huang, Meiqi Lai, Wenwen Li, Siting Chen, Guolong Zhang, Danxia Huang, Guilin Peng, Ying Huang, Liang Ruan
BMJ Open.2025; 15(3): e086771. CrossRef

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Young Adult Donor’s Experiences of Living Donor Liver Transplantation: Bang, Miseon , Shin, Haeyun , Ryu, Min , Kwon, Suhye; J Korean Acad Nurs 2021;51(1):105-118. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20235

Abstract PDF

Purpose
This study aimed to explore young adult donors’ experiences of living donor liver transplantation.
Methods
A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi’s phenomenological method.
Results
Five theme clusters extracted from the young adult donors’ experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity.
Conclusion
The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.

Citations

Citations to this article as recorded by

Research Trends on Living Donors for Liver Transplantation: A Text Network Analysis and Topic Modeling
Seongmi Choi, Mihui Kim, Won Jin Seo
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 157. CrossRef
Living well or not? Quality of life of parental living liver donors: A cross‐sectional study
Xiaxin Wu, Jing Chen, Yaru Fan, Yuexian Shi, Wei Gao
Journal of Clinical Nursing.2023; 32(15-16): 5113. CrossRef
The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
Miseon Bang, Suhye Kwon
Journal of Korean Academy of Nursing.2022; 52(4): 435. CrossRef
The life experiences of living liver donors: A qualitative meta‐synthesis
Hye‐Young Jang, Hyei Yeon Im, Hye Jin Nam
Research in Nursing & Health.2022; 45(6): 693. CrossRef

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Original Articles

Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status: SinYoung Hwang, Smi Choi-Kwon; J Korean Acad Nurs 2019;49(3):340-348. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.340

Abstract PDF

Abstract Purpose

This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities.

Methods

This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data.

Results

The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and 23.16 kg/m², respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (β=.72, p<.001), a lower Model for End-stage Liver Disease (MELD) score (β=-.18, p<.001), and being male (β=-.10, p=.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p=.020).

Conclusion

LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients’ post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.

Citations

Citations to this article as recorded by

Nutritional Intake after Liver Transplant: Systematic Review and Meta-Analysis
Lynsey N. Spillman, Angela M. Madden, Holly Richardson, Fumiaki Imamura, Danielle Jones, Marilyn Nash, Hong Kai Lim, Holly N. Hellawell, Kirsten L. Rennie, Linda M. Oude Griep, Michael Allison, Simon J. Griffin
Nutrients.2023; 15(11): 2487. CrossRef
Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
Hyun Jung Jung, Young-Ju Kim
The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132. CrossRef

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Structural Equation Modeling of Self-Management of Liver Transplant Recipients: Mi-Kyeong Jeon, Yeon-Hwan Park; J Korean Acad Nurs 2017;47(5):663-675. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.663

Abstract PDF

Abstract Purpose

The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory.

Methods

Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers’ autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program.

Results

The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers’ autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers’ autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management.

Conclusion

The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.

Citations

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Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study
Hyeiyeon Im, Hye-Young Jang
Heliyon.2024; 10(24): e40237. CrossRef
Structural equation modeling for associated factors with self-care behavior among young and middle-aged hypertensive patients: a cross-sectional study
Nam Jo Kim, Myung Kyung Lee
Contemporary Nurse.2023; 59(2): 99. CrossRef
Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study
Dan Zhang, Nannan Zhang, Hui Chang, Ying Shi, Zijun Tao, Xu Zhang, Qi Miao, Xiaofei Li
Clinical Nursing Research.2023; 32(4): 776. CrossRef
Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model
So‐Young Kim, Yun Mi Lee, Youn‐Jung Son
Journal of Advanced Nursing.2023; 79(1): 170. CrossRef
Type D personality, cognitive illness perception, depression, approach coping, and self-management among older adults in long-term care hospitals: Structural equation modeling
Sunki Kim, Mona Choi, JuHee Lee, Heejung Kim, Kijun Song, Hye-Ja Park
Geriatric Nursing.2022; 48: 150. CrossRef
Factors influencing the self-management of kidney transplant patients based on self-determination theory: a cross-sectional study
Mi Kyung Sim, Sun Young Son, Man Ki Ju
Korean Journal of Transplantation.2022; 36(1): 37. 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
Psychometric properties of the Chinese Version of the Readiness for Hospital Discharge Scale for people living with HIV
Chen Chen, Xiaoxia Zhang, Chulei Tang, Xueling Xiao, Zirong Tao, Honghong Wang
International Journal of Nursing Sciences.2020; 7(2): 220. CrossRef
Mediation Effects of Basic Psychological Needs Between Autonomy Support from Healthcare Providers and Self-Management Among Cancer Survivors
Eun-Jung Bae, Yun-Hee Kim
Osong Public Health and Research Perspectives.2019; 10(6): 385. CrossRef
Analysis of mortality prognostic factors using model for end-stage liver disease with incorporation of serum-sodium classification for liver cirrhosis complications
Yuna Kim, Kyunghee Kim, Insil Jang
Medicine.2019; 98(45): e17862. 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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