Stress and stress‐related factors of patients after renal transplantation in Taiwan: a cross‐sectional study

Chen, K.-H.; Weng, Li‐Chueh; Lee, Sheuan

doi:10.1111/j.1365-2702.2009.03175.x

Cited by 27 publications

(45 citation statements)

References 33 publications

(93 reference statements)

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“…Nevertheless, previous studies evaluating stress and kidney transplantation have used other instruments such as scales based on subjective measurement of stressful factors or specific life themes, including those relating to the illness. [22][23][24][25]28 Those scales probably have limited evaluation capacity because they rely on patient memory and do not consider the coping strategies used by patients, which may alter the stress results. 35 Additionally, we did not find any studies that have shown any consistent link between the specific phases of stress and nonadaptive behavior of nonadherence in cases of kidney transplantation.…”

Section: Discussionmentioning

confidence: 99%

“…[22][23][24][25][26][27][28] Many challenges are faced after kidney transplantation, such as following a complex medication regimen, dealing with its side effects, living constantly under the influence of feelings of uncertainty or fear relating to graft survival, and the social pressure to return to the previous routine. [22][23][24][25][26][27][28] Another important aspect in this complex interaction is how patients cope with their condition. Coping refers to a set of cognitive and behavioral efforts aimed at controlling, reducing or eliminating stress.…”

Section: Introductionmentioning

confidence: 99%

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Stress, coping and adherence to immunosuppressive medications in kidney transplantation: a comparative study

et al. 2015

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CONTEXT AND OBJECTIVE: Adherence to medication is a key issue relating to outcomes from transplantation and it is influenced by several factors, such as stress and coping strategies. However, these factors have been poorly explored. We aimed to compare stress and coping strategies between adherent and nonadherent renal transplant recipients who were receiving immunosuppression. DESIGN AND SETTING:We conducted a comparative, cross-sectional and observational study at a university-based transplantation clinic in Juiz de Fora, Brazil. METHODS: Fifty patients were recruited and classified as adherent or nonadherent following administration of the Basel Assessment of Adherence to Immunosuppressive Medications Scale. Stress was evaluated using the Lipp Stress Symptom Inventory for Adults and coping strategies were assessed using the Ways of Coping Scale. RESULTS: The study included 25 nonadherent patients and 25 controls with a mean age of 44.1 ± 12.8 years and median post-transplantation time of 71.8 months. Stress was present in 50% of the patients. Through simple logistic regression, nonadherence was correlated with palliative coping (OR 3.4; CI: 1.02-11.47; P < 0.05) and had a marginal trend toward significance with more advanced phases of stress (OR 4.7; CI: 0.99-22.51; P = 0.053). CONCLUSION: Stress and coping strategies may have implications for understanding and managing nonadherent behavior among transplantation patients and should be considered among the strategies for reducing nonadherence. RESUMO

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stress, coping and adherence to immunosuppressive medications in kidney transplantation: a comparative study

et al. 2015

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“…It is not disease specific, and has been translated into several languages. The SUPPH measures chronically ill patients’ confidence in carrying out self‐care strategies (Lev & Owen, ).Separate self‐care self‐efficacy measures were developed specifically for diabetes (Heisler & Piette, ; van der Bijl, van Poelgeest‐Eeltink, & Shortridge‐Baggett, ), kidney transplantation (Chen, Weng, & Lee, ), and stroke (Frost, Weingarden, Zeilig, Nota, & Rand, ). The Perceived Competence Scale is a diabetes self‐care self‐efficacy measure (Heisler & Piette, ).…”

Section: Approachmentioning

confidence: 99%

Describing Self‐Care Self‐Efficacy: Definition, Measurement, Outcomes, and Implications

Eller

Lev

Yuan

et al. 2016

Int J of Nursing Knowl

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“…Post-renaltransplant care requires the administration of immunosuppressive drugs to prevent rejection, which makes patients more susceptible to infections. Moreover, patients may gain weight and experience side effects from the immunosuppressive drugs, organ rejection, and psychological and social stresses (Arikan et al, 2004;Chen, Weng, & Lee, 2010). Many renal transplant recipients worry about rejection, infection, drug side effects, and changes in body image.…”

Section: Introductionmentioning

confidence: 99%

The Effects of an Empowerment Intervention on Renal Transplant Recipients

Hsiao

Lin

et al. 2016

Journal of Nursing Research

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Background: Renal transplantation is a vital treatment for end-stage renal disease. To help improve quality of life after renal transplant surgery, interventions are needed to strengthen the coping skills and self-care behaviors of patients. However, most research studies on self-care after renal transplantation have addressed related factors. Few studies have examined the effects of interventions on renal transplant recipients. Purpose: This study investigated the effects of an empowerment support group on the empowerment levels and self-care behaviors of renal transplant recipients. Methods: This study was a randomized controlled trial. Eligible participants were individuals who had undergone a renal transplant within the past 20 years, were 18 years old or older, were able to read and write in Chinese, and were willing to participate. We recruited 122 renal transplant recipients from two medical centers in southern Taiwan. The renal transplant outpatients were randomly assigned into empowerment support (n = 56) and comparison (n = 66) groups. The developed measures as well as the content, protocols, and the two groups were assessed for reliability and validity. The intervention involved one 2-hour meeting every 2 weeks for a total of six meetings. The topics included goal setting, problem solving, coping with daily stress, seeking social support, and staying motivated. The sessions consisted of introductions that highlighted the topic, group discussions, identifying areas of difficulty with self-care behaviors after renal transplant, and developing a set of goals and strategies to overcome these problems. Results: The empowerment group reported significant increases both in terms of level of empowerment (F = 5.29, p = .023) based on age and time interaction (F = 9.86, p < .001) and in terms of self-care behaviors (F = 7.15, p = .009). Moreover, these increases were significantly larger than the increases recorded by the comparison group. In addition, these increases were particularly large in the older empowerment-group participants with lower pretest scores for empowerment. Conclusions: Empowerment support may be critical to improve the empowerment and self-care behaviors of renal transplant patients. The results of this study may be applied to improve patient education and empowerment programs for renal transplant patients. Furthermore, these programs may be adjusted to take into consideration the learning preferences or needs of different age groups.

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Stress and stress‐related factors of patients after renal transplantation in Taiwan: a cross‐sectional study

Cited by 27 publications

References 33 publications

Stress, coping and adherence to immunosuppressive medications in kidney transplantation: a comparative study

Stress, coping and adherence to immunosuppressive medications in kidney transplantation: a comparative study

Describing Self‐Care Self‐Efficacy: Definition, Measurement, Outcomes, and Implications

The Effects of an Empowerment Intervention on Renal Transplant Recipients

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