Corr Michael, McKeaveney Clare, Wurm Fina, Courtney Aisling E, Noble Helen
Centre of Public Health, Institute of Clinical Sciences B, Royal Victoria Hospital, Belfast BT12 6BA, UK.
School of Nursing, Queen's University Belfast, Belfast BT7 1NN, UK.
Healthcare (Basel). 2023 Feb 14;11(4):566. doi: 10.3390/healthcare11040566.
Renal transplantation is the gold-standard treatment for adolescents and young adults with end-stage renal disease. Despite enjoying excellent short-term outcomes, they suffer the worst rates of premature transplant function loss. Health behaviors: such as lack of adherence to immunosuppressive medications, are felt to be the major contributory factor. Understanding the educational needs of young renal transplant recipients allows healthcare practitioners to better support patients in managing their chronic disease. The aim of this scoping review was to understand what is known about their educational needs. A scoping review methodology was followed. Following an online search, study titles, and abstracts were screened for eligibility, followed by full-text assessment and data extraction. Data were qualitatively analyzed using thematic analysis. A total of 29 studies were included in the scoping review. In young people who struggled with self-management, three themes were identified (1) the Needs of the disrupted youth, (2) the Needs of the disorganized youth (3) the Needs of the distressed youth. There was a paucity of research to identify the protective factors that enable young recipients to successfully manage their health. This review outlines current knowledge of the patient education needs of young transplant recipients. It also highlights remaining research gaps that will need to be addressed with future research.
肾移植是终末期肾病青少年和青年的金标准治疗方法。尽管短期疗效良好,但他们过早失去移植肾功能的比例却是最高的。健康行为,如不坚持服用免疫抑制药物,被认为是主要的促成因素。了解年轻肾移植受者的教育需求,有助于医疗从业者更好地支持患者管理其慢性病。本范围综述的目的是了解关于他们教育需求的已知情况。采用了范围综述方法。在进行在线搜索后,对研究标题和摘要进行筛选以确定其是否符合条件,随后进行全文评估和数据提取。使用主题分析法对数据进行定性分析。范围综述共纳入29项研究。在自我管理方面存在困难的年轻人中,确定了三个主题:(1)受干扰青年的需求,(2)无组织青年的需求,(3)苦恼青年的需求。缺乏研究来确定使年轻受者能够成功管理自身健康的保护因素。本综述概述了年轻移植受者患者教育需求的当前知识。它还突出了有待未来研究解决的剩余研究空白。