腎移植患者の自己管理行動及び満足度に関連する要因の分析

抄録

【Objective】 Patient decision-making in relation to maintaining a high quality of life and sustaining self-management behaviors are predicted to be imperative for long-term graft survival in kidney transplants. The purpose of this study is to elucidate the relationship between decision-making for kidney transplant and self-management behavior, and post-transplant satisfaction, and factors related to self-management behavior and post-transplant satisfaction.

【Design】 A cross-sectional and descriptive survey.

【Methods】 Self-administered questionnaires were conducted among 202 kidney transplant recipients of A hospital in 2017.

【Results】 A total of 158 completed the questionnaires. The relationship between decision-making for spontaneous transplantation and self-management behavior was not confirmed, but post-transplant satisfaction was higher when transplant professionals affected decision-making. Self-management behavior was higher in women and unemployed persons, and decreased with increasing years after transplantation, showing a positive correlation with satisfaction after transplantation. Factors that increased satisfaction after transplantation were no comorbidities or readmissions, serum creatinine levels of less than 2 mg/dL, and employment.

【Conclusion】 Appropriate provision of information by transplant professionals at the time of decision-making will improve post-transplant satisfaction and self-management ability. In addition, patient-tailored guidance by professionals is necessary for self-management support.