Understanding the Perceived Threat of the Risk of Graft Rejections

Forsberg, Anna; Lennerling, Annette; Fridh, Isabell; Karlsson, Veronika; Nilsson, Madeleine

doi:10.1177/2333393614563829

Cited by 5 publications

(11 citation statements)

References 32 publications

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“…As self‐efficacy is an important part of self‐management, it is important to identify those recipients with an IA score >18 for further self‐management support. For this purpose, the theoretical framework suggested by Forsberg et al () might be highly useful in clinical practice, where an expert nurse practitioner or a transplant nurse could perform the assessment and provide the necessary support.…”

Section: Discussionmentioning

confidence: 99%

“…For nearly two decades, a Swedish research group has focused on recipients’ experiences of the specific event of graft rejection within the context of solid organ transplantation. The results of these studies (Forsberg, Bäckman, & Möller, ; Nilsson, ; Nilsson et al, ; Nilsson, Forsberg, Bäckman, Lenerling, & Persson, ; Nilsson, Forsberg, Lennerling, & Persson, ) have led to the development of a theoretical framework (Forsberg, Lennerling, Fridh, Karlsson, & Nilsson, ).…”

Section: Introductionmentioning

confidence: 99%

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Fear of graft rejection 1–5 years after lung transplantation—A nationwide cohort study

et al. 2018

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AimTo explore the perceived threat of the risk of graft rejection and its relationship to psychological general well‐being and self‐efficacy 1–5 years after lung transplantation.DesignA nationwide, cross‐sectional cohort study as a part of the Self‐management after thoracic transplantation study.MethodsA total of 117 lung transplant recipients due for their yearly follow‐up one (N = 35), two (N = 28), three (N = 23), four (N = 20) and 5 years (N = 11) after lung transplantation were included. We used three instruments; the Perceived Threat of the Risk of Graft Rejection, the Psychological General Well‐being and Self‐efficacy in chronic illness.ResultsThe lung recipients reported an overall low perceived threat of the risk of graft rejection with no gender differences. Intrusive anxiety explained 24.7% of the variance in the PGWB‐sum (p ≤ 0.001) and makes a statistically significant (β = −497; p ≤ 0.001) unique contribution to the overall psychological general well‐being (95%CI 3.004—1.515).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fear of graft rejection 1–5 years after lung transplantation—A nationwide cohort study

et al. 2018

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“…Here the middle-range theory of PTGR might be highly advantageous as it is context specific and developed from the patient perspective. 12 Dealing with a lifelong PTGR is a complex challenge for the solid organ transplant recipients, but also for the transplant nurse, whose key mission is risk assessment and health promotion throughout the whole transplant process. To have a psychologist in the clinical out-patient team would be a great advantage; however, this is close to non-existent in Sweden.…”

Section: Self-efficacymentioning

confidence: 99%

“…For nearly two decades a Swedish research group has focused on recipients' experiences of graft rejection within the context of solid organ transplantation, which is the only consistent work available regarding the organ recipients' perspective of fear of graft rejection. The results of these studies [7][8][9][10][11] have led to the development of a theoretical framework 12 and an understanding of the impact and consequences of fear of graft rejection on the organ recipients' everyday life and health related quality of life. The theoretical framework involves a four-step approach to the organ recipient: 1) assessment which involves context-specific deliberative actions to approach and assess threat-induced emotions and actions to relieve intrusive anxiety in the organ recipients.…”

Section: Introductionmentioning

confidence: 99%

Fear of graft rejection after heart transplantation – a nationwide cross-sectional cohort study

Forsberg

Kisch

Paulsson

et al. 2020

European Journal of Cardiovascular Nursing

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Background: Cellular rejection is most common 3–6 months after heart transplantation while chronic rejection, that is, cardiac allograft vasculopathy and malignancy are the most common causes of death in heart-transplant recipients beyond the third year after transplantation. However, the heart transplantation recipient’s perceived threat of graft rejection has never been explored. Aim: The aim was to explore perceived threat of the risk of graft rejection and its relationship to psychological wellbeing, fatigue, health literacy, adherence and self-efficacy 1–5 years after heart transplantation. Methods: In a nationwide, cross-sectional study that constituted part of the Self-management after thoracic transplantation project, 79 heart recipients (68% men and 32% women with a mean age of 52.6 years) were investigated after one year ( n=28), two years ( n=17), three years ( n=11), four years ( n=17) and five years ( n=6). The instruments used were: the Perceived Threat of the Risk of Graft Rejection, the Psychological General Well-being, Self-efficacy for Managing Chronic Disease, the Multidimensional Fatigue Inventory, the Newest Vital Sign and the Basel Assessment of Adherence to Immunosuppressive Medication Scale. Results: Twenty-eight per cent of the heart transplantation recipients perceived graft rejection as a serious threat. Intrusive anxiety was low and 37% perceived the threat of the risk of graft rejection as being beyond their control. Heart transplant recipients with high level of fatigue and low psychological well-being reported stronger intrusive anxiety and less control. Conclusion: A perceived threat of the risk of graft rejection is present in the everyday lives of heart transplantation recipients and is strongly related to overall psychological well-being.

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“…After decades of pioneering advances and improvements, kidney transplantation is now the renal replacement therapy of choice for most patients with end-stage kidney disease (ESKD) because it offers higher survival rates and arguably better quality of life after transplantation. Despite this success, the high risk of premature death and frequent occurrence of graft failure requiring return to dialysis or re-transplantation remain important challenges for the research community and a constantly perceived threat for kidney transplant recipients (KTR) [1,2]. Moreover, the occurrence of graft failure imposes a huge socio-economic impact due to the higher costs for dialysis [3], decreased quality of life, and increased mortality risk [4].…”

Section: Introductionmentioning

confidence: 99%

Toward Advancing Long-Term Outcomes of Kidney Transplantation with Artificial Intelligence

Castillo-Astorga

Sotomayor

2021

Transplantology

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After decades of pioneering advances and improvements, kidney transplantation is now the renal replacement therapy of choice for most patients with end-stage kidney disease (ESKD). Despite this success, the high risk of premature death and frequent occurrence of graft failure remain important clinical and research challenges. The current burst of studies and other innovative initiatives using artificial intelligence (AI) for a wide range of analytical and practical applications in biomedical areas seems to correlate with the same trend observed in publications in the kidney transplantation field, and points toward the potential of such novel approaches to address the aforementioned aim of improving long-term outcomes of kidney transplant recipients (KTR). However, at the same time, this trend underscores now more than ever the old methodological challenges and potential threats that the research and clinical community needs to be aware of and actively look after with regard to AI-driven evidence. The purpose of this narrative mini-review is to explore challenges for obtaining applicable and adequate kidney transplant data for analyses using AI techniques to develop prediction models, and to propose next steps in the field. We make a call to act toward establishing the strong collaborations needed to bring innovative synergies further augmented by AI, which have the potential to impact the long-term care of KTR. We encourage researchers and clinicians to submit their invaluable research, including original clinical and imaging studies, database studies from registries, meta-analyses, and AI research in the kidney transplantation field.

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Understanding the Perceived Threat of the Risk of Graft Rejections

Cited by 5 publications

References 32 publications

Fear of graft rejection 1–5 years after lung transplantation—A nationwide cohort study

Fear of graft rejection 1–5 years after lung transplantation—A nationwide cohort study

Fear of graft rejection after heart transplantation – a nationwide cross-sectional cohort study

Toward Advancing Long-Term Outcomes of Kidney Transplantation with Artificial Intelligence

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