Korean J Adult Nurs.  2015 Apr;27(2):170-179. 10.7475/kjan.2015.27.2.170.

Self-care, Social Support, and Biological Markers in Liver Transplant Recipients

• Kim H
• Choi M
• Kim SS
• Kim SI

• KMID: 2298131
• DOI: http://doi.org/10.7475/kjan.2015.27.2.170

Abstract

PURPOSE
To examine the relationships between self-care, social support, and biological markers in liver transplant recipients.
METHODS
The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheffe post-hoc test, and Pearson's correlation.
RESULTS
The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001).
CONCLUSION
As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.

MeSH Terms

Ambulatory Care Facilities
Biomarkers*
Counseling
Education
Electronic Health Records
Health Personnel
Humans
Liver*
Nursing
Self Care*
Seoul
Transplantation*
Weights and Measures
Surveys and Questionnaires

Reference

1.Lee SG. Current status of liver transplantation in Korea. The Korean Society of Gastroenterology. 2005. 46(2):75–83.

2.McGuire BM., Rosenthal P., Brown CC., Busch AMH., Calcatera SM., Claria RS, et al. Long term management of the liver transplant patient: recommendations for the primary care doctor. American Journal of Transplantation. 2009. 9(9):1988–2003. http://dx.doi.org/10.1111/j.1600-6143.2009.02733.x.

3.Korean Network for Organ Sharing. Annual report of transplant 2011 [Internet]. Seoul: Korean Network for Organ Sharing;2011. [cited 2012 September 27] Available from:. http://www.konos.go.kr.

4.Kim EM., Seo MJ. Liver transplant recipient, adjustment, phe-nomenology. KoreanAcademicSociety of Rehabilitation Nursing. 2003. 6(1):61–9.

5.Bowni kH., Saab S. Healthrelatedqualityoflifeafterlivertrans-plantation for adult recipients. Liver Transplantation. 2009. 15(S2):S42–9. http://dx.doi.org/10.1002/lt.21911.

6.Ha HS., Jeong JS., Chae YR., Hong JJ., Kim IO., Yi MS, et al. Psychosocial adjustment of the organ transplantation recipients in Korea. The Journal of the Korean Society for Transplantation. 2007. 21(2):269–81.

7.Orr A., Orr D., Willis S., Holmes M., Britton P. Patient perceptions of factors influencing adherence to medication following kidney transplant. Psychology, Health & Medicine. 2007. 12(4):509–17. http://dx.doi.org/10.1080/13548500701294556.

8.Pfitzmann R., Nussler NC., Hippler Benscheidt M., Neuhaus R., Neuhaus P. Long termresults after liver transplantation. Transplant International. 2008. 21(3):234–46. http://dx.doi.org/10.1111/j.1432-2277.2007.00596.ẍ.

9.Kugler C., Geyer S., Gottlieb J., Simon A., Haverich A., Dracup K. Symptom experience after solid organ transplantation. Journal of Psychosomatic Research. 2009. 66(2):101–10. http://dx.doi.org/10.1016/j.jpsychores.2008.07.017.

10.Achille MA., Ouellette A., Fournier S., Vachon M., Hebert MJ. ́Impact of stress, distress and feelings of indebtedness on adherence to immunosuppressants following kidney transplantation. Clinical Transplantation. 2006. 20(3):301–6. http://dx.doi.org/10.1111/j.1399-0012.2005.00478.x.

11.Gallant MP. The influence of socialsupport on chronic illness self-management: a reviewand directions for research. Health Education & Behavior. 2003. 30(2):170–95. http://dx.doi.org/10.1177/1090198102251030.

12.Lee SG. Current Status of Liver transplantation in Korea. The Korean Society of Gastroenterology. 2005. 46(2):75–83.

13.Lee SO. Infectious complicationafter liver transplantation. The Korean Association for the Study of the Liver. 2012. 2012(2):66–72.

14.Yoon JS. The effect of discharge education on the self care performance for liver transplantation patients. [master's thesis]. Seoul: Seoul National University;2007.

15.Lamba S., Nagurka R., Desai KK., Chun SJ., Holland B., Koneru B. Selfreported non adherence to immunesuppressantthera-py in liver transplant recipients: demographic, interpersonal, and intrapersonal factors. Clinical Transplantation. 2012. 26(2):328–35. http://dx.doi.org/10.1111/j.1399-0012.2011.01489.x.

16.Yoo SJ. Effect of discharge education on the self-care performance for the schizophrenics. [dissertation]. Seoul: Seoul National University;1991.

17.Kim OS. A study on the correlation between perceived social support and the quality of life of hemodialysis patients. [master's thesis]. Seoul: Seoul National University;1993.

18.Lynn M. Determinationandquantification of content validity. Nursing Research. 1986. 35(6):382–5.

19.Statistics Korea. 2011. Life tables for Korea [Internet]. Seoul: Statistics Korea;2012. [cited 2013 March 22] Available from:. http://kosis.kr/.

20.Sabbatini M., Crispo A., Pisani A., Gallo R., Cianciaruso B., Fui-ano G, et al. Sleepquality in renaltransplantpatients: a never investigated problem. Nephrology Dialysis Transplantation. 2005. 20(1):194–8. http://dx.doi.org/10.1093/ndt/gfh604.

21.Karam VH., Gasquet I., Delvart V., Hiesse C., Dorent R., Danet C, et al. Quality of life in adult survivors beyond 10 years after liver, kidney, andheart transplantation. Transplantation. 2003. 76(10):1699–704. http://dx.doi.org/10.1097/01.TP.0000092955.28529.1E.

22.DiMartini A., Javed L., Russell S., Dew MA., Fitzgerald MG., Jain A, et al. Tobacco use following liver transplantation for alcoholic liver disease: an underestimated problem. Liver Transplantation. 2005. 11(6):679–83. http://dx.doi.org/10.1002/lt.20385.

23.Park TJ., Koh HS. Oralhealth status and dentaltreatment need of liver transplant candidates. Korean Academy of Or of acial Pain and Oral Medicine. 2009. 34(1):1–9.

24.L Danzinger-Isakov., Kumar DAST. Infectious disease community ofpractice.guidelines for vaccination of solidorgantrans-plant candidates and recipients. American Journal of Transplantation. 2009. 9(s4):S258–S262. http://dx.doi.org/10.1111/j.1600-6143.2009.02917.x.

25.Jerant A., Moore M. Lorig K, Franks P. Perceived control moderated the self-efficacy-enhancing effects of a chronic illness self-management intervention. Chronic Illness. 2008. 4(3):173–82.

26.Kim HS., Kim HY. Factors predicting medication compliance among elderly visitors ofpublic healthcenters. Journal of Korean Academy of Community Health Nursing. 2007. 18(1):5–13.

27.Ryu JH., Kim MH., Kang IS. A study on the compliance and educational demand of renaltransplantation patient. The Korean Journal of Rehabilitation Nursing. 2003. 6(2):226–38. http://www.dbpia.co.kr/Publication/615.

28.Son WY., Hyun SJ., Kim NM., Eum OJ., Kim CG., Kim DJ, et al. The effect of compliance, family support and graft function on quality of life kidney transplant recipients. The Journal of the Korean Society for Transplantation. 2008. 22(2):254–61.

29.Lee MS. Psychosocialadjustment after kidney transplantation. The Korean Society of Nursing Science. 1998. 28(2):291–302.

30.Wang LY., Chang PC., Shih FJ., Sun CC., Jeng C. Self-care behavior, hope, andsocial supportin Taiwanese patientsawaiting heart transplantation. Journal of Psychosomatic Research. 2006. 61(4):485–91. http://dx.doi.org/10.1016/j.jpsychores.2004.11.013.