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Tian Q, Zhang C, Guo P, Xu M, Yu S, Liu Y, Cao M, Yu L, Yang S, Zhang W. Cognitive appraisal of health and its influencing factors among pregnant women with gestational diabetes mellitus: A cross‐sectional study. J Obstet Gynaecol Res 2023. [DOI: 10.1111/jog.15635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 02/28/2023] [Indexed: 04/04/2023]
Affiliation(s)
- Qi Tian
- School of Nursing Jilin University Changchun Jilin China
| | - Chunmiao Zhang
- Department of Obstetrics and Gynecology The Second Hospital of Jilin University Changchun Jilin China
| | - Pingping Guo
- School of Nursing Jilin University Changchun Jilin China
| | - Mengmeng Xu
- School of Nursing Jilin University Changchun Jilin China
| | - Shuanghan Yu
- School of Nursing Jilin University Changchun Jilin China
| | - Yantong Liu
- School of Nursing Jilin University Changchun Jilin China
| | - Minglu Cao
- School of Nursing Jilin University Changchun Jilin China
| | - Lin Yu
- School of Nursing Jilin University Changchun Jilin China
| | - Shu Yang
- School of Nursing Jilin University Changchun Jilin China
| | - Wei Zhang
- School of Nursing Jilin University Changchun Jilin China
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Maasdam L, Timman R, Cadogan M, Tielen M, van Buren MC, Weimar W, Massey EK. Exploring health literacy and self-management after kidney transplantation: A prospective cohort study. PATIENT EDUCATION AND COUNSELING 2022; 105:440-446. [PMID: 34034938 DOI: 10.1016/j.pec.2021.05.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 03/04/2021] [Accepted: 05/06/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Investigate the influence of health literacy and self-management on complications, kidney function and graft failure after kidney transplantation. METHODS We included patients who received a kidney transplant between May 2012 and May 2013 and monitored outcomes until December 2018. Health literacy was measured using the Newest Vital Sign and self-management using the Partner in Health scale (before discharge, and after 6 and 12 months). Subscales are aftercare & knowledge, coping, recognition and management of symptoms, healthy lifestyle. Complications were categorized as rejection, viral infections, and bacterial infections. Kidney function was measured using eGFR and graft survival using days until failure. RESULTS We included 154 patients. Higher health literacy at baseline and at 12 months was related to more viral infections (p = 0.02; p < 0.01). Lower 'coping' at baseline was related to more bacterial infections (p = 0.02). Higher 'after-care and knowledge' at 6 months (p < 0.01), and 'recognition and management of symptoms' at 6 months were associated with lower graft failure (p < 0.01). CONCLUSION Health literacy did not influence kidney transplant related outcomes. Higher knowledge and management of symptoms were related to lower graft failure. PRACTICE IMPLICATIONS Self-management support is a key focus for health care providers in the multidisciplinary team.
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Affiliation(s)
- Louise Maasdam
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands.
| | - Reinier Timman
- Erasmus Medical Center, Dept. of Psychiatry, Unit of Medical Psychology & Psychotherapy, The Netherlands
| | - Monique Cadogan
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands
| | - Mirjam Tielen
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands
| | - Marleen C van Buren
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands
| | - Willem Weimar
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands
| | - Emma K Massey
- Erasmus Medical Center, Dept. of Internal Medicine, Kidney Transplant Unit, The Netherlands
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Ohashi T, Akazawa C. Content Validity of a Self-Management Behavior Assessment Tool for Adult Post-Renal Transplant Recipients Using a Modified Delphi Method. Health (London) 2022. [DOI: 10.4236/health.2022.141007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Solberg MA, Gridley MK, Peters RM. The Factor Structure of the Brief Cope: A Systematic Review. West J Nurs Res 2021; 44:612-627. [PMID: 33942676 DOI: 10.1177/01939459211012044] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Brief COPE is a widely used measure of coping that contains 28 items on 14 factors. Researchers have shortened the inventory, but the factor structure remains debated. A systematic review of peer-reviewed studies published in English between 1997 and 2021 was conducted to determine if a more parsimonious number of factors could be identified. Cumulative Index for Nursing and Allied Health, PsycINFO, PsycARTICLES, Medline, PubMed, and Scopus databases were searched using keywords "Brief COPE" and "factor, valid*, or psychometric.*" Searching yielded 573 articles; cited references added 38; 85 articles met inclusion criteria. Principal components analysis and confirmatory factor analysis were major analytic strategies used (28% and 27%, respectively). Only eight studies analyzed the original 14-factor structure. Factors identified ranged from 2 to 15, with dichotomous factors most frequently identified (25%; n = 21). A smaller number of factors may be able to represent the Brief COPE. Research is needed to test a condensed instrument.
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Health-related quality of life of transplant recipients: a comparison between lung, kidney, heart, and liver recipients. Qual Life Res 2020; 29:1631-1639. [DOI: 10.1007/s11136-020-02434-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2020] [Indexed: 12/21/2022]
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Pehlivan S, Vatansever N, Arslan İ, Yildiz A, Ersoy A. Level of Daily Life Activities and Learning Needs in Renal Transplant Patients. EXP CLIN TRANSPLANT 2019; 18:498-504. [PMID: 30806203 DOI: 10.6002/ect.2018.0151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES Transplantation affects the patient's psychological state and daily life activities. Although there are various studies regarding the quality of life of patients, there are limited studies on the daily life activities and learning needs of patients after renal transplant. Here, we investigated the daily life activities and learning needs of patients after renal transplant. MATERIALS AND METHODS This descriptive and cross-sectional study was conducted on 120 renal transplant recipients. Data were collected using the "Patient Information Form," the "Nottingham Extended Activities of Daily Living Scale," and the "The Patient Learning Needs Scale." Data were evaluated with t test, analysis of variance, and Pearson correlation analyses. RESULTS In our patient group, the mean general health score was 6.8 ± 2.34, and the fatigue score was 4.53 ± 2.88. Although 66.7% of our patients reported that they had information about the drugs that they used, 58.3% could not answer questions regarding the most important adverse effects of their drugs. We found that 20% of the patients had a respiratory problem, 34.2% had sexual problems, and 26.7% had sleep problems. The average Nottingham Extended Activities of Daily Living Scale levels were lower in patients with only primary school education, patients who did not work, and patients with other illnesses. Learning needs of patients were as follows in order: quality of life, feelings related to the conditions, treatment, and complications. CONCLUSIONS Our study patients reported that their overall daily life activities and quality of life, given the holistic approach to treatment and care, were good. However, when we examined each activity separately, our findings showed that patients lacked information regarding how to cope with stress, emotions, and the effects of renal transplant on their life.
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Affiliation(s)
- Seda Pehlivan
- From the Department of Internal Medicine Nursing, Faculty of Health Sciences, Uludag University, Bursa, Turkey
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de Brito DCS, de Paula AM, Grincenkov FRDS, Lucchetti G, Sanders-Pinheiro H. Analysis of the changes and difficulties arising from kidney transplantation: a qualitative study. Rev Lat Am Enfermagem 2017; 23:419-26. [PMID: 26312633 PMCID: PMC4547064 DOI: 10.1590/0104-1169.0106.2571] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Accepted: 01/15/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE: to identify the main gains and stressors perceived by the patient, one year
subsequent to kidney transplantation. METHOD: a qualitative study, in which the data were obtained and analyzed through the
Discourse of the Collective Subject and frequency counting, with the participation
of 50 patients who had received kidney transplantation. RESULTS: the sample presented a mean age of 44±12.8 years old, and a predominance of males
(62%). The principal positive changes provided by the transplant were: return to
activities; freedom/independence; well-being and health; strengthening of the I;
and closening of interpersonal relationships. The most-cited stressors were: fear;
medication; excess of care/control; specific characteristics of the treatment; and
failure to return to the social roles. CONCLUSION: kidney transplantation caused various positive changes in the patient's routine,
with the return to activities of daily living being the most important gain, in
the participants' opinion. In relation to the stressors, fear related to loss of
the graft, and questions relating to the immunosuppressive medication were the
main challenges to be faced following transplantation.
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Affiliation(s)
| | | | | | - Giancarlo Lucchetti
- Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, BR
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EXP CLIN TRANSPLANTExp Clin Transplant 2016. [DOI: 10.6002/ect.2015.0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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Teng S, Zhang S, Zhang W, Lin X, Shang Y, Peng X, Liu H. Symptom Experience Associated With Immunosuppressive Medications in Chinese Kidney Transplant Recipients. J Nurs Scholarsh 2015. [DOI: 10.1111/jnu.12157] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- Sha Teng
- Master Degree Candidate; School of Nursing, Beijing University of Chinese Medicine; Beijing China
| | - Shuping Zhang
- Lecturer, School of Nursing; Beijing University of Chinese Medicine; Beijing China
| | - Wenxin Zhang
- Master Degree Candidate; School of Nursing, Beijing University of Chinese Medicine; Beijing China
| | - Xiaohong Lin
- Master Degree Candidate; School of Nursing, Beijing University of Chinese Medicine; Beijing China
| | - Yabin Shang
- Master Degree Candidate; School of Nursing, Beijing University of Chinese Medicine; Beijing China
| | - Xiao Peng
- Master Degree Candidate; School of Nursing, Beijing University of Chinese Medicine; Beijing China
| | - Hongxia Liu
- Associate Professor, School of Nursing; Beijing University of Chinese Medicine; Beijing China
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Xing L, Chen QY, Li JN, Hu ZQ, Zhang Y, Tao R. Self-management and self-efficacy status in liver recipients. Hepatobiliary Pancreat Dis Int 2015; 14:253-62. [PMID: 26063025 DOI: 10.1016/s1499-3872(15)60333-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Liver transplantation (LT) is a viable treatment for patients with end-stage chronic liver diseases. The main aim of LT is to prolong life and improve life quality. However, although survival after LT continues to improve, some aspects of recipient's health-related quality of life such as self-management and self-efficacy have been largely ignored. METHODS A total of 124 LT recipients were included in this study. Questionnaires for general health status information and a "Self-Management Questionnaire for Liver Transplantation Recipients" modified from the Chinese version of "Chronic Disease Self-Management Program Questionnaire Code Book" were used in the survey. Data were collected by self-administered questionnaires. RESULTS The overall status of self-management in LT recipients was not optimistic. The major variables affecting the self-management of LT recipients were marital status, educational level and employment. The overall status of self-efficacy in LT recipients was around the medium-level. Postoperative time and self-assessment of overall health status were found as the factors impacting on self-efficacy. CONCLUSIONS The self-management behavior of LT recipients needs to be improved. The health care professionals need to offer targeted health education to individual patients, help them to establish healthy lifestyle, enhance physical activity and improve self-efficacy. The development of the multilevel and multifaceted social support system will greatly facilitate the self-management in LT patients.
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Affiliation(s)
- Lei Xing
- Center for Organ Transplantation and Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
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Pistorio ML, Veroux M, Corona D, Sinagra N, Giaquinta A, Zerbo D, Giacchi F, Gagliano M, Tallarita T, Veroux P, De Pasquale C. The study of personality in renal transplant patients: possible predictor of an adequate social adaptation? Transplant Proc 2014; 45:2657-9. [PMID: 24034016 DOI: 10.1016/j.transproceed.2013.07.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND This study explored the personality characteristic traits within a sample of renal transplant patients, seeking to obtain predictive index for likely clinical impacts. PATIENTS AND METHODS The personality study was performed using the Structured Clinical Interview Axis II Personality Disorders for Diagnostic and Statistical Manual of Mental Disorders fourth edition, text revision in 60 recipients of kidney transplantations from deceased donors. RESULTS The personality trait that prevailed in the female gender was borderline, while in the male gender it appeared to be predominantly obsessive-compulsive personality trait. CONCLUSIONS The personality study proved to be a good index to predict effects on the level of social adjustment. In this way, patients who have shown pathologic personality traits can be identified early to provide adequate psychologic-psychiatric support and follow-up.
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Affiliation(s)
- M L Pistorio
- Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Italy
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Nilsson M, Forsberg A, Lennerling A, Persson LO. Coping in relation to perceived threat of the risk of graft rejection and Health-Related Quality of Life of organ transplant recipients. Scand J Caring Sci 2012. [DOI: 10.1111/scs.12007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Anna Forsberg
- The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences; Gothenburg Sweden
- Department of Health Sciences, Faculty of Medicine; Lund University; Gothenburg Sweden
| | - Annette Lennerling
- The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences; Gothenburg Sweden
- The Transplant Institute; Sahlgrenska University Hospital; Gothenburg Sweden
| | - Lars-Olof Persson
- The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences; Gothenburg Sweden
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A Systematic Review of Studies Using the Brief COPE: Religious Coping in Factor Analyses. RELIGIONS 2011. [DOI: 10.3390/rel2030216] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Lasker JN, Sogolow ED, Short LM, Sass DA. The impact of biopsychosocial factors on quality of life: women with primary biliary cirrhosis on waiting list and post liver transplantation. Br J Health Psychol 2011; 16:502-27. [PMID: 21722273 DOI: 10.1348/135910710x527964] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVES Primary biliary cirrhosis (PBC) is the second most common reason for liver transplants among women in the USA. While survival rates are high, there is evidence of persistent problems post-transplant. This study aimed to identify significant contributors to quality of life (QOL) for women with PBC on waiting list (WL) and post-transplant (PT) and compare QOL in each group with US population norms. DESIGN A cross-sectional, two-group study design was used. METHODS WL and PT participants were recruited through medical centres and on-line. QOL was measured by the Short Form-36 and an indicator of Social QOL created for this study. A biopsychosocial model incorporating demographic, biomedical, psychological, and sociological factors guided choice of variables affecting QOL. Analyses examined (1) all factors for differences between WL and PT groups, (2) association between factors and QOL outcomes within each group, (3) multivariate regression of QOL on factors in the model for the sample as a whole, and (4) comparison of QOL outcomes with national norms. RESULTS One hundred women with PBC participated in the study, 25 on WL and 75 PT. Group comparisons showed improvement for PT participants in most biomedical and psychological variables and in QOL outcomes. QOL was related to many, but not all, of the variables in the model. In multivariate analysis, Fatigue, Depression, Coping, and Education - but not Transplant Status - were identified as indicators of QOL. Physical QOL improved significantly after 5 years PT, when it was no longer worse than national norms. Mental QOL remained worse than national norms despite distance in time from transplant. CONCLUSIONS The model proved useful in identifying a range of factors that contributed to QOL for women with PBC before and after transplant. Recommendations were made for clinical practice to improve QOL through a combination of treatment and self-management.
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Affiliation(s)
- Judith N Lasker
- Department of Sociology and Anthropology, Lehigh University, Bethlehem, Pennsylvania 18015, USA.
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