Educational intervention for liver transplantation candidates

Abstract

Objective: The objective in this study was to analyze candidates' knowledge on the liver transplantation process before and after putting in practice an educational intervention. Method:A quasi-experimental, one-group pretest-posttest research design was adopted. The final sample included 15 subjects. Research data were collected between January and March 2010 in three phases, which were: pretest, implementation of the educational intervention (two meetings) and posttest. Results: The results evidenced significant cognitive gains after the intervention, with improvements in the participants' performance. Conclusions: The research presents evidence that putting in practice a patient education strategy can enhance candidates' knowledge on the liver transplantation process and consequently contribute to a successful treatment.

Knowledge and Daily Living Activities of Post Liver Transplant Clients

“…[20] From the researcher point of view, the current results reflect the importance of health awareness of LT clients concerning their life style post transplantation. This was in the same line with the study done by Delair et al, (2010) at New York transplant centers and reported that the clients exposed to educational intervention reported significantly greater knowledge, and increased self-efficacy in comparison with who are not exposed to the intervention.…”

“…[17-1 With the knowledge developed, the client can change behaviors and influence attitudes that can improve health and life style through a variety of educational strategies. [8,20] Therefore, the aim of the present study was to asses the knowledge and daily living activities of post liver transplant clients.…”

“…Moreover, Mendes et al, (2013) stated that in the analysis of correct answers to 17 questions in the knowledge assessment instrument on the transplantation process was poor. [20] From the researcher point of view, the current results reflect the importance of health awareness of LT clients concerning their life style post transplantation.…”

Avaliação do conhecimento dos candidatos a transplante de fígado

“…No entanto, conhecer o que se espera no futuro, diante de um procedimento complexo como o transplante de fígado, auxilia na conscientização e responsabilização do candidato e familiares para o autocuidado, especialmente na fase pós-operatória, em que mudanças de estilo de vida são fundamentais para a manutenção e sucesso do tratamento. 6 Considerando o conhecimento insuficiente das características básicas da medicação e finalidade da terapia imunossupressora, é possível pressupor consequências na eficácia do tratamento, por meio da não adesão medicamentosa pós-transplante. Em transplantados, a não adesão ao protocolo imunossupressor assume crucial importância em virtude dos efeitos negativos, tais como, rejeição aguda, disfunção crônica, perda do enxerto e mesmo a morte do receptor.…”

“…O candidato ao transplante deve ser orientado quanto à anestesia, ventilação artificial, utilização de tubos, sondas e cateteres, monitorização cardíaca, exercícios respiratórios, possibilidades de dor e administração de medicamentos. 6 É necessário compreender a necessidade de informação dos candidatos ao transplante, a fim de direcionar ações educativas a este grupo. Um programa de ensinoaprendizagem deve ser construído a partir das necessidades de informações dos pacientes.…”