AI Article Synopsis
- The study looked at the problems faced by people who received kidney transplants and how they can be better supported in managing their health.
- Kidney transplant recipients found it hard to adjust to their new lives, manage their medications, and handle their emotions related to the transplant, and they wanted more specific help from nurses.
- The researchers concluded that nurses need better training and tools to help patients with both medical advice and emotional support after their transplant.
Article Abstract
Aims: This study investigated self-management challenges and support needs experienced by kidney transplant recipients.
Background: After kidney transplantation, recipients are expected to take an active role in self-management. However, evidence suggests that nurses experience difficulties operationalizing self-management support. Greater insight into the recipients' perspective could help to improve the adequacy and efficacy of nurse-led self-management support.
Design: A cross-sectional qualitative study.
Methods: Focus groups and individual interviews were carried out with kidney transplant recipients treated in a Dutch university hospital. Directed content analysis (DCA) was used.
Results: Forty-one kidney transplant recipients participated. Challenges after transplantation included becoming an expert patient, adjusting daily life activities, dealing with medical regimen, forming relationships with nurses, dealing with social consequences, dealing with emotions related to transplantation and the donor and improving self-image. To be able to deal with these challenges, participants wished to receive disease specific knowledge and instruction, share personal experiences with fellow patients, share and discuss not only medical but also emotional and social issues with nurses and wanted to be encouraged through positive feedback. "One-size fits all" education was considered insufficient in meeting their needs.
Conclusions: After kidney transplantation, recipients experienced various challenges in dealing with the medical, emotional and social tasks. Current support from nurses overlooked recipients' emotional and social support needs. Nurses need adequate tools and training to be able to meet recipients' self-management support needs.
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| http://dx.doi.org/10.1111/jan.13730 | DOI Listing |
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