Korean J Transplant.  2020 Dec;34(Supple 1):S200. 10.4285/ATW2020.OP-1044.

The influence of healthcare provider’s autonomy support, autonomous motivation and competence on self-care behaviors in kidney transplant patients based on self-determination theory

• Son S
• Ju Mk
• Sim MK

• KMID: 2509390
• DOI: http://doi.org/10.4285/ATW2020.OP-1044

Abstract

Background
It is important for transplant patients to perform continuous self-care behavior after transplantation. The self-determination theory is that explains the persistence factors of health behavior of chronically ill patients. This study was conducted to identify the factors of the self-determination theory of kidney transplant patients and to prepare basic data to improve self-care behavior of them.
Methods
The subjects of this study were 79 transplant patients who underwent follow-up care in an outpatient clinic after receiving a kidney transplant at one G university hospital in Seoul. Survey research was done using the “Health care climate questionnaire,” “autonomous motivation,” “Perceived competence scale” tools, and “self-management” tools. The data collected from April 20, 2020 to August 20, and the collected data were analyzed using SPSS ver. 21.0 for windows. 
Results
The average age of the subjects was 54.1 years (27–78 years), and male patients were 46 (58.2%). The duration after transplantation was 5.25 years. The factors a significant correlation was confirmed were Healthcare provider’s autonomy support and autonomous motivation (r=0.39, P<0.001), healthcare provider’s autonomy and competence (r=0.29, P<0.05), healthcare) , Healthcare provider’s autonomy and self-care behavior (r=0.34, p<0.01), autonomous motivation and competence (r=0.39, P<0.001), autonomous motivation and self-care behavior (r=0.47, P<0.001), competence and self-care behavior (r=0.44, P<0.001). As a result of multiple regression analysis, the factors that have the greatest influence on self-care behavior were identified in the order of competence (β=0.377, P<0.01), and autonomous motivation (β=0.293, P<0.01). The total explanatory power was 30.1%.  
Conclusions
As a result of this study, it was consistent with the results of previous studies that autonomous motivation increased competence and continuation self-care behavior. This could contribute to the development of an intervention program for improving the self-care behavior of patients.