임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제28권2호
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  • Pages.89-98
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  • 2022
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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간이식 수혜자의 불확실성, 자기효능감 및 사회적 지지와 자가간호 수행 간의 관계

Relationship between Uncertainty, Self Efficacy, Social Support, and Self-Care Performance in Liver Transplant Recipients

  • 황가화 (대구가톨릭대학교병원) ;
  • 이영주 (대구가톨릭대학교 간호대학)
  • Hwang, Ga Hwa (Department of Nursing, Daegu Catholic University Medical Center) ;
  • Lee, Young Joo (College of Nursing, Daegu Catholic University)
  • 투고 : 2022.03.08
  • 심사 : 2022.06.24
  • 발행 : 2022.08.31
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초록

Purpose: This study aimed to determine the correlation between uncertainty, self efficacy, social support, and self-care performance among liver transplant recipients. Methods: Participants comprised 111 liver transplant recipients who visited the outpatient clinic at the hepatobiliary and pancreatic surgery department of a hospital in D city. Data were collected from September to October 2021 using self-report questionnaires, and were analyzed by the SPSS 23.0 program. Results: Self-care performance was correlated with uncertainty (r=-.31, p=.001), self efficacy (r=.22, p=.023), and social support (r=.38, p<.001). Conclusion: To improve self-care performance in liver transplant recipients, it is necessary to develop nursing interventions that can reduce uncertainty and enhance self efficacy and social support.

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참고문헌

  1. Lee SG. Current status of liver transplantation in Korea. Korean Journal of Gastroenterology. 2005;46(2):75-83.
  2. National Institute of Organ, Tissue and Blood Management. Annual report of the transplant 2019 [Internet]. Seoul: National Institute of Organ, Tissue and Blood Management; 2020 Aug [cited 2021 Apr 11]. Available from: https://www.konos.go.kr/board/boardListPage.do?page=sub4_2_1&boardId=30.
  3. Ko D, Bratzke LC, Muehrer RJ, Brown RL. Self-management in liver transplantation. Applied Nursing Research. 2019;45:30-38. https://doi.org/10.1016/j.apnr.2018.11.002
  4. Lieber SR, Kim HP, Baldelli L, Nash R, Teal R, Magee G, et al. Early survivorship after liver transplantation: A qualitative study identifying challenges in recovery from the patient and caregiver perspective. Liver Transplantation. 2022;28(3):422-436. https://doi.org/10.1002/lt.26303
  5. Jang YM, Fung JJ, Starzl TE. Current problems and perspectives of liver transplantation in Pittsburgh: Retransplantation and split, reduced size liver transplantation. Korean Journal of Hepato-Biliary-Pancreatic Surgery. 2000;4(1):51-67.
  6. Jung HJ, Kim YJ. Impact of self-esteem and social support on self-care performance in liver transplantation recipients. Korean Journal of Rehabilitation Nursing. 2020;23(2):132-139. https://doi.org/10.7587/kjrehn.2020.132
  7. Rubin A, Sanchez-Montes C, Aguilera V, Juan FS, Ferrer I, Moya A, et al. Long-term outcome of 'long-term liver transplant survivors'. Transplant International. 2013;26(7):740-750. https://doi.org/10.1111/tri.12118
  8. Neuberger J. Follow-up of liver transplant recipients. Best Practice & Research Clinical Gastroenterology. 2020;46-47:101682. https://doi.org/10.1016/j.bpg.2020.101682
  9. Kim HK, Choi MN, Kim SS, Kim SI. Self-care, social support, and biological markers in liver transplant recipients. Korean Journal of Adult Nursing. 2015;27(2):170-179. https://doi.org/10.7475/kjan.2015.27.2.170
  10. Kim EM, Kim KS. A structural model on quality of life for recipients of liver transplants. Journal of Korean Academy of Fundamentals of Nursing. 2007;14(3):340-350.
  11. McKay SC, Lembach H, Hann A, Okoth K, Anderton J, Nirantharakumar K, et al. Health related quality of life, uncertainty and coping strategies in solid organ transplant recipients during shielding for the COVID-19 pandemic. Transplant International. 2021;34(11):2122-2137. https://doi.org/10.1111/tri.14010
  12. Moon SJ, Kim HJ. Effects of self-efficacy and transplant-related knowledge on compliance with a therapeutic regimen for recipients of liver transplant. Journal of Korean Academy of Fundamentals of Nursing. 2019;26(3):166-175. https://doi.org/10.7739/jkafn.2019.26.3.166
  13. Kaplan BH, Cassel JC, Gore S. Social support and health. Medical Care. 1977;15(5 Suppl):47-58. https://doi.org/10.1097/00005650-197705001-00006
  14. Jeon MK, Park YH. Structural equation modeling of self-management of liver transplant recipients. Journal of Korean Academy of Nursing. 2017;47(5):663-675. https://doi.org/10.4040/jkan.2017.47.5.663
  15. Kim SI. Problems and measures of liver transplantation: The selections of immunosuppressant, period, drug interactions. Clinical and Molecular Hepatology. 2003;9(2s):65-71.
  16. Lee SO. Infectious complication after liver transplantation [Internet]. In: Korean Association for the Study of the Liver, editor. Infectious liver disease. Proceedings of the 2012 Autumn Single Topic Symposium of the Korean Association for the Study of the Liver; 2012 Sep 1; Chunnam National University, Gwangju. Seoul: The Association; 2012. p. 66-72 [cited 2021 Apr 10]. Available from: https://www.kasl.org/pdf/120901_sts/07.pdf.
  17. Yoo HJ, Kim KS. Relationship between stress and the quality of life among the recipients of the living donor liver transplantation. Journal of Korean Clinical Nursing Research. 2013;19(3):395-406. https://doi.org/10.22650/JKCNR.2013.19.3.395
  18. Mishel MH. The measurement of uncertainty in illness. Nursing Research. 1981;30(5):258-263. https://doi.org/10.1097/00006199-198109000-00002
  19. Sherer M, Maddux JE, Mercandante B, Pretice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  20. Hong HY. The relationship of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995. p. 1-73.
  21. Yun JS. The effect of discharge education on the self care performance for liver transplantation patients [master's thesis]. Seoul; Seoul National University; 2007. p. 1-73.
  22. Lasker JN, Sogolow ED, Olenik JM, Sass DA, Weinrieb RM. Uncertainty and liver transplantation: Women with primary biliary cirrhosis before and after transplant. Women & Health. 2010;50(4):359-375. https://doi.org/10.1080/03630242.2010.498750
  23. Koo MJ, Kim DH, Kim KN. Comparison of discharge learning needs between nurses and liver transplantation patients. Journal of Korean Critical Care Nursing. 2014;7(2):1-13.
  24. Lee TG, Kang IS. Relationship between self-care awareness and performance in liver transplantation patients. Global Health and Nursing. 2016;6(2):51-58. https://doi.org/10.35144/ghn.2016.6.2.51
  25. Bae SJ, Kim MY. Self-care adherence in kidney transplant recipients: Convergence factors and elapsed time analysis. Journal of Digital Convergence. 2017;15(3):259-266. https://doi.org/10.14400/JDC.2017.15.3.259
  26. Ha MO, Kim MH, Ko YS. The effect of retirement on health behavior: Analyses by reasons for retirement. Journal of the Korean Gerontological Society. 2016;36(4):1125-1139.
  27. Lee MA, Kang YH. The relationships among symptom experience, uncertainty, appraisal of uncertainty and self-care behavior in patients with heart failure. Health & Nursing. 2020;32(1):9-20. https://doi.org/10.29402/HN32.1.2
  28. Kruckenberg KM, Shenai N, Dew MA, Switzer G, Hughes C, DiMartini AF. Transplant-related trauma, personal growth and alcohol use outcomes in a cohort of patients receiving transplants for alcohol associated liver disease. General Hospital Psychiatry. 2021 Sep-Oct;72:73-80. https://doi.org/10.1016/j.genhosppsych.2021.07.005
  29. Zhang D, Zhang N, Chang H, Shi Y, Tao Z, Zhang X, et al. Mediating role of hope between social support and self-management among chinese liver transplant pecipients: A multi-center cross-sectional study. Clinical Nursing Research. 2022 Feb. https://doi.org/10.1177/10547738221078897
  30. Adu MD, Malabu UH, Malau-Aduli AE, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLoS One. 2019;14(6):e9217771. https://doi.org/10.1371/journal.pone.0217771