Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study
Background: Preemptive kidney transplantation (PKT) is associated with reduced dialysis-related morbidity and improved graft survival, which has led to an increase in the prevalence of PKT. The distinct clinical pathways of PKT and non-preemptive kidney transplantation (NPKT) patients may affect the...
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Elsevier
2024-12-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024162688 |
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| author | Hyeiyeon Im Hye-Young Jang |
| author_facet | Hyeiyeon Im Hye-Young Jang |
| author_sort | Hyeiyeon Im |
| collection | DOAJ |
| description | Background: Preemptive kidney transplantation (PKT) is associated with reduced dialysis-related morbidity and improved graft survival, which has led to an increase in the prevalence of PKT. The distinct clinical pathways of PKT and non-preemptive kidney transplantation (NPKT) patients may affect their ability to perform self-care, a key factor in post-transplant recovery. However, there is ongoing controversy regarding which group demonstrates better self-care abilities, highlighting the need to explore the factors influencing self-care in each group. Objectives: This study aims to identify and compare predictors of self-care in PKT and NPKT groups. Methods: We collected data from 209 KT recipients, consisting of 101 PKT and 108 NPKT patients, using self-administered questionnaires. These questionnaires assessed general and disease-specific characteristics, stress, social support, and self-care behaviors. Data were analyzed using descriptive statistics, t-tests, ANOVA, and multiple regression analysis. Results: The study identified significant predictors of self-care among both PKT and NPKT patients. For PKT patients, marital status (β = .19, p = .033) and family support (β = .28, p = .006) are key predictors of self-care, with those having spousal support and strong family networks reporting better self-care levels. Conversely, in NPKT patients, significant predictors of self-care included marital status (β = .31, p = .001), employment status (β = .29, p = .007), post-transplantation duration (less than 36 month) (β = −.22, p = .015), post-transplantation duration (36–72 month) (β = −.33, p = .001), and stress levels (β = −.20, p = .028). Conclusions: The study provides valuable insights into the predictors of self-care based on preoperative dialysis status, illustrating distinct predictors between the growing population of PKT and NPKT patients. These findings emphasize the need for personalized nursing strategies to enhance post-transplant self-care, tailored to individual patient characteristics. |
| format | Article |
| id | doaj-art-c4d79a43286c4ae4a4bffe90ca98703e |
| institution | OA Journals |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-c4d79a43286c4ae4a4bffe90ca98703e2025-08-20T02:35:00ZengElsevierHeliyon2405-84402024-12-011024e4023710.1016/j.heliyon.2024.e40237Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative studyHyeiyeon Im0Hye-Young Jang1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United StatesCollege of Nursing, Hanyang University, Seoul, Republic of KoreaBackground: Preemptive kidney transplantation (PKT) is associated with reduced dialysis-related morbidity and improved graft survival, which has led to an increase in the prevalence of PKT. The distinct clinical pathways of PKT and non-preemptive kidney transplantation (NPKT) patients may affect their ability to perform self-care, a key factor in post-transplant recovery. However, there is ongoing controversy regarding which group demonstrates better self-care abilities, highlighting the need to explore the factors influencing self-care in each group. Objectives: This study aims to identify and compare predictors of self-care in PKT and NPKT groups. Methods: We collected data from 209 KT recipients, consisting of 101 PKT and 108 NPKT patients, using self-administered questionnaires. These questionnaires assessed general and disease-specific characteristics, stress, social support, and self-care behaviors. Data were analyzed using descriptive statistics, t-tests, ANOVA, and multiple regression analysis. Results: The study identified significant predictors of self-care among both PKT and NPKT patients. For PKT patients, marital status (β = .19, p = .033) and family support (β = .28, p = .006) are key predictors of self-care, with those having spousal support and strong family networks reporting better self-care levels. Conversely, in NPKT patients, significant predictors of self-care included marital status (β = .31, p = .001), employment status (β = .29, p = .007), post-transplantation duration (less than 36 month) (β = −.22, p = .015), post-transplantation duration (36–72 month) (β = −.33, p = .001), and stress levels (β = −.20, p = .028). Conclusions: The study provides valuable insights into the predictors of self-care based on preoperative dialysis status, illustrating distinct predictors between the growing population of PKT and NPKT patients. These findings emphasize the need for personalized nursing strategies to enhance post-transplant self-care, tailored to individual patient characteristics.http://www.sciencedirect.com/science/article/pii/S2405844024162688Kidney transplantPreemptive kidney transplantSelf-careTransplant patient |
| spellingShingle | Hyeiyeon Im Hye-Young Jang Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study Heliyon Kidney transplant Preemptive kidney transplant Self-care Transplant patient |
| title | Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study |
| title_full | Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study |
| title_fullStr | Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study |
| title_full_unstemmed | Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study |
| title_short | Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study |
| title_sort | predictors of self care in kidney transplant patients according to preoperative dialysis a comparative study |
| topic | Kidney transplant Preemptive kidney transplant Self-care Transplant patient |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024162688 |
| work_keys_str_mv | AT hyeiyeonim predictorsofselfcareinkidneytransplantpatientsaccordingtopreoperativedialysisacomparativestudy AT hyeyoungjang predictorsofselfcareinkidneytransplantpatientsaccordingtopreoperativedialysisacomparativestudy |