DOI QR코드

DOI QR Code

A Scoping Review on Educational Programs Provided to Kidney Transplant Patients in Korea

국내 신장이식 환자에게 제공된 교육 프로그램에 대한 주제범위 문헌고찰

  • Received : 2023.08.25
  • Accepted : 2023.11.20
  • Published : 2023.11.28

Abstract

The purpose of this study is to provide evidences throught scoping review of education intervention studies for post kidney transplantation management in the kidney transplant patients in Korea. Through the search engines RISS, KISS, DB pia and Pubmed, 13 articles were selected by searching for theses and academic journals published prior to the search date of May 21, 2023. According to the study result, relevant studies were 13, and the education programs provided to kidney transplant patients were classified into 1) overall health management after transplantation, 2) self-efficacy promotion exercise program, 3) exercise therapy, 4) drug education, and 5) stress coping. Knowledge, implementation, self-efficacy, anxiety, uncertainty, stress, and quality of life were confirmed as effects of the intervention. Based on the results of this study, it is necessary to develop integrated educational materials and systematic self-management programs that can manage various health problems that may occur after kidney transplantation, and it is suggeste that research on educational interventions for kidney transplant patients in nursing.

본 연구는 국내 신장이식 환자에게 제공된 교육 중재 연구의 주제범위 문헌고찰을 통해 신장이식 환자 교육과 관련된 연구의 동향을 파악하고, 신장이식 환자에게 제공된 교육의 종류와 특성을 확인 및 분석하여, 추후 신장이식 환자의 이식 후 관리를 위한 교육 자료의 개발 및 교육 프로그램을 개발하기 위한 기초자료를 제공하기 위해 시행되었다. 문헌을 분석하기 위해 JBI 매뉴얼을 바탕으로 주제범위 문헌고찰을 수행하였으며, 국내·외 데이터베이스(RISS, KISS, DB pia, Pubmed)에서 "신장이식", "교육", "프로그램", "kidney transplantation", "education", "program", "Korea"를 검색어로 2023년 5월 21일 검색일 기준 이전에 출판된 모든 문헌을 검색하였다. 검색된 560편 중 최종 13편의 문헌이 선정되어 최종 분석하였다. 연구결과 신장이식 환자에게 제공된 교육 프로그램은 이식 후 전반적인 건강관리, 자기효능증진 운동프로그램, 운동요법, 약물 교육, 스트레스 대처로 분류되었으며, 지식, 이행, 자기효능감, 불안, 불확실성, 스트레스, 삶의 질 등에 효과가 있는 것으로 나타났다. 본 연구결과를 토대로 신장이식 후 발생할 수 있는 다양한 건강문제를 관리할 수 있는 통합적인 교육 자료의 개발과 체계적인 자가관리 프로그램의 개발이 필요하며, 간호학에서 신장이식 환자의 교육 중재 연구가 증가하길 제언한다.

Keywords

References

  1. M. G. Kim. (2020). Immunological Characteristics and Management of Kidney Transplantation. The Korean Journal of Medicine, 95(1), 18-26. DOI : 10.3904/kjm.2020.95.1.18
  2. S. Fishbane & V. Nair. (2018). Opportunities for increasing the rate of preemptive kidney transplantation. Clinical Journal of the American Society of Nephrology, 13(8), 1280-1282. DOI : 10.2215/CJN.02480218
  3. The National Institute of Organ, Tissue and Blood Management. (2022). Annual report of the transplant 2021. Retrived June 20, 2023 from https://www.konos.go.kr/board/boardListPage.do?page=sub4_2_1&boardId=30
  4. S. Huh, N. Han, M. Sohn, J. Ryu, J. Yang, & J. M. Oh. (2019). Formulation of the scope and key questions of the guideline recommendations for immunosuppressive treatment in kidney transplantation. Korean Journal of Clinical Pharmacy, 29(1), 18-24. DOI : 10.24304/kjcp.2019.29.1.18
  5. E. J. Gordon, M. Gallant, A. R. Sehgal, D. Conti, & L. A. Siminoff. (2009). Medication-taking among adult renal transplant recipients: barriers and strategies. Transplant International, 22(5), 534-545. DOI : 10.1111/j.1432-2277.2008.00827.x
  6. N. J. Jamieson, C. S. Hanson, M. A. Josephson, E. J. Gordon, J. C. Craig, F. Halleck, K. Budde, & A. Tong. (2016). Motivations, challenges, and attitudes to self-management in kidney transplant recipients: a systematic review of qualitative studies. American Journal of Kidney Diseases, 67(3), 461-478. DOI : 10.1053/j.ajkd.2015.07.030
  7. Y. H. Hwang, & M. Yi. (2015). Evaluation of an individualized education before discharge and follow-up telephone consultation on self-efficacy for kidney transplant patients. Journal of Korean Biological Nursing Science, 17(4), 331- 340. DOI : 10.7586/jkbns.2015.17.4.331
  8. F. Murphy, (2007). The role of the nurse post-renal transplantation. British Journal of Nursing, 16(11), 667-675. DOI : 10.12968/bjon.2007.16.11.23689
  9. S. De Geest, L. Borgermans, H. Gemoets, I. Abraham, H. Vlaminck, G. Evers, & Y. Vanrenterghem. (1995). Incidence, determinants, and consequences of subclinical noncompliance with immunosuppressive therapy in renal transplant recipients. Transplantation. 59(3), 340-347. https://doi.org/10.1097/00007890-199502000-00006
  10. J. H. Ahn. (2000). The effect of the self efficacy promotion and exercise training program of kidney transplant recipients. Journal of Korean Academy of Nursing, 30(5), 1181-1194. https://doi.org/10.4040/jkan.2000.30.5.1181
  11. M. K. Sim, & S. Y. Son. (2012). The effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. Journal of East-West Nursing Research, 18(1), 9-17.
  12. S. H. Kim, & H. S. You. (2017). The effects of an empowerment education program for kidney transplantation patients. Journal of Korean Academy of Nursing, 47(4), 445-455. DOI : 10.4040/jkan.2017.47.4.445
  13. K. H. Kwon. (2013). The effects of daily exercise program on muscle strength, physiological index and quality of life in post kidney transplantation patients. Master's thesis. Catholic University. Seoul.
  14. H. Arksey, & L. O'Malley. (2005). Scoping studies: towards a methodological framework. International journal of social research methodology, 8(1), 19-32. DOI : 10.1080/1364557032000119616
  15. M. D. Peters, C. M. Godfrey, H. Khalil, P. McInerney, D. Parker, & C. B. Soares. (2015). Guidance for conducting systematic scoping reviews. JBI Evidence Implementation, 13(3), 141-146. DOI : 10.1097/XEB.0000000000000050
  16. G. O. Bae, (2005). The effect of telephone counseling program on stress and self care in kidney transplantation patients. Master's thesis. Inha University. Seoul.
  17. H. W. Jeong, C. E. Song, & M. An. (2021). Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study. Plos one, 16(6), e0248947. DOI : 10.1371/journal.pone.0248947
  18. J. H. Ahn, & N. C. Kim. (2000). The effects of the self-efficacy promotion and exercise program on the weight, body fat rate, exercise time and cardiopulmonary function of kidney transplant recipients. Journal of Korean Academy of Adult Nursing, 12(3), 452-462.
  19. J. H. Ahn. (2001). The effects of the self efficacy promotion and exercise training program on anxiety, depression and quality of life of kidney transplant recipients. Journal of Korean Academy of Adult Nursing, 13(2), 223-232.
  20. H. S. You, S. Y. Chung, H. S. So, & S. J. N. Choi. (2008). Effect of a DanJeon breathing exercise program on the quality of life in patients with kidney transplants. In Transplantation proceedings, 40(7), 2324-2326. DOI : 10.1016/j.transproceed.2008.06.051
  21. S. J. Bae, E. Y. Choi, S. Y. Lee, T. W. Yoon, S. J. Park, & I. H. Lee. (2017). Effect of pharmacist's educational intervention on patient satisfaction and medication knowledge after kidney transplantation. Journal of Korean Society of Health-System Pharmacists, 34(2), 157-171. https://doi.org/10.32429/jkshp.2017.34.2.003
  22. J. J. Jang, J. A. Jeun, J. S. Park, E. H. Sung, H. R. Kim, & A. R. Jo. (2017). The effects of a drug educational program on knowledge and medication compliance for kidney transplantation patients. Keimyung Journal of Nursing Science. 21(1), 48-56.
  23. J. I. Chu. (1999). A study on the application of a group program for stress coping for female kidney transplant patients: based on the cognitive behavioral model. Master's thesis. Ewha Womans University, Seoul.
  24. A. J. Bahruth. (2004). What every patient should know...pretransplantation and posttransplantation. Critical Care Nursing Quarterly, 27(1), 31-60. https://doi.org/10.1097/00002727-200401000-00004
  25. J. Marcum, M. Ridenour, G. Shaff, M. Hammons, & M. Taylor. (2002). A study of professional nurses' perceptions of patient education. The journal of continuing education in nursing, 33(3), 112-118. DOI : 10.3928/0022-0124-20020501-05
  26. A. Forsberg, L. Backman, & A. Moller. (2000). Experiencing liver transplantation: A phenomenological approach. Journal of advanced nursing, 32(2), 327-334. DOI : 10.1046/j.1365-2648.2000.01480.x
  27. N. Tabet, & R. Howard. (2009). Non-pharmacological interventions in the prevention of delirium. Age and ageing, 38(4), 374-379. DOI : 10.1093/ageing/afp039
  28. J. K. Low, A. Williams, E. Manias, & K. Crawford. (2015). Interventions to improve medication adherence in adult kidney transplant recipients: a systematic review. Nephrology Dialysis Transplantation, 30(5), 752-761. DOI : 10.1093/ndt/gfu204
  29. S. H. Noh, & J. S. Park. (2020). Analysis of unmet needs by elapsed time in kidney transplantation patients. Journal of the Korea Convergence Society, 11(12), 457-467. DOI : 10.15207/JKCS.2020.11.12.457
  30. W. Y. Son, S. J. Hyun, N. M. Kim, O. K. Eum, C. G. Kim, D. J. Kim, S. G. Park, J. H. Lee, J. S. Kim, & S. Lee. (2008). The effect of compliance, family support and graft function on quality of life in kidney transplant recipients. The Journal of the Korean Society for Transplantation, 254-261.
  31. K. H. Urstad, O. Oyen, M. H. Andersen, T. Moum, & A. K. Wahl. (2012). The effect of an educational intervention for renal recipients: A randomized controlled trial. Clininal Transplant, 26(3), E246-253. DOI : 10.1111/j.1399-0012.2012.01666.x