SELF-MANAGEMENT ABILITY OF PATIENTS AF-TER KIDNEY TRANSPLANTATION: A SCOPING REVIEW
Maria Polychroni, Petros Kolovos
Friday, April 1, 2022
- Polychroni Maria, RN, MSc, Mesogeios Dialysis Center, Kalamata
- Kolovos Petros, Assistant Professor, Laboratory of Integrated Health Care, Department of Nursing, School of Health Sciences, University of Peloponnese, Tripolis, Greece
Introduction: Kidney transplantation remains a crucial treatment option for patients with end stage chronic renal disease with essential advantages, since it requires an adherence to a continuous and complex "treatment" of self-management. Aim: To investigate factors affecting the ability of self-management of patients following kidney transplantation. Material and Method: The methodological framework of scoping review was undertaken. The search strategy was conducted in PubMed/Medline and Google Scholar with the keywords: «chronic renal disease», «quality of life», «kidney transplantation», «self-management» and «renal recipients». Data extracted were analyzed and synthesized. Results: Ten citations matched the inclusion criteria and answered the current research question. Of these, half had a quantitive research orientation, four a qualitative one and one citation was a literature review. The analysis of the results of these studies revealed that the ability of self-management after transplantation focuses on the management of emotions and self-perception, social roles, compliance with the treatment, complications and disease management. Factors associated with the self-management included age, gender, marital status, personality traits, mental health disorders and emotional changes, self-efficacy, required knowledge to manage the new situation, therapeutic regimen, state of renal function after transplantation, socioeconomic factors and the existence of a social support network. Conclusions: The ability of self-management contributes to the improvement of the self-care process and the quality of life for transplant patients, since they become more empowered through the autonomy they acquire.