Bae Sun Hyoung, Lee Jung Jun, Son Sun Young, Kim Hee Young, Ju Man Ki
Research Institute of Nursing Science, College of Nursing, Ajou University, Suwon 100204, Republic of Korea.
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
J Clin Med. 2023 Jan 27;12(3):977. doi: 10.3390/jcm12030977.
This study was conducted to determine the correlations between health literacy, transplant effects, and compliance to treatment in organ transplant recipients and to identify the factors influencing compliance to treatment. The participants ( = 130; males = 66.9%; mean age = 56.4 years) were organ transplant recipients visiting an organ transplantation center in Seoul, South Korea. The regression model explained 32% of the variance in participants' compliance to treatment. Among the health literacy variables, "Scale 3: Actively managing my health" (β = 0.38, = 0.001) and "Scale 4: Social support for health" (β = 0.25, = 0.019) had a significant effect on compliance to treatment. In this study, health literacy was identified as a key factor influencing compliance to treatment. Therefore, patients' health literacy should be assessed prior to transplantation to identify potential high-risk patients for treatment nonadherence. In addition, after transplantation surgery, patient-tailored interventions should be developed and provided for self-management that reflects the patient's health literacy level to ultimately enhance patient outcomes.
本研究旨在确定器官移植受者的健康素养、移植效果与治疗依从性之间的相关性，并确定影响治疗依从性的因素。参与者（n = 130；男性占66.9%；平均年龄 = 56.4岁）为前往韩国首尔一家器官移植中心就诊的器官移植受者。回归模型解释了参与者治疗依从性32%的方差。在健康素养变量中，“量表3：积极管理我的健康”（β = 0.38，p = 0.001）和“量表4：健康的社会支持”（β = 0.25，p = 0.019）对治疗依从性有显著影响。在本研究中，健康素养被确定为影响治疗依从性的关键因素。因此，应在移植前评估患者的健康素养，以识别治疗不依从的潜在高危患者。此外，移植手术后，应制定并提供针对患者的干预措施，以进行自我管理，这些措施应反映患者的健康素养水平，以最终改善患者的治疗效果。
