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肾移植受者的感染预防行为有哪些以及与之相关的因素有哪些?

What Are the Infection Prevention Behaviors of Kidney Transplant Recipients and the Factors Related to These?

作者信息

Sarıgöl Ordin Yaprak, Karakılçık Bahar

机构信息

Surgical Nursing Department, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkiye.

Surgical Nursing Department, Health Sciences Institute, Dokuz Eylul University, Izmir, Turkiye.

出版信息

J Clin Nurs. 2024 Nov 5. doi: 10.1111/jocn.17522.

DOI:10.1111/jocn.17522
PMID:39497642
Abstract

BACKGROUND

The infection prevention behaviours of kidney transplant recipients have been investigated, but the factors affecting these have not. Therefore, the present study aimed to examine the infection prevention behaviours of kidney transplant recipients and the factors related to these.

METHODS

The sample of this descriptive, cross-sectional study included 148 kidney transplant recipients being followed in a kidney transplant outpatient clinic. Data were collected with a sociodemographic and clinical characteristics form, the Adherence to Measures against Infections Questionnaire and the Self-Control and Self-Management Scale between November 2022 and May 2023.

RESULTS

The mean age of the patients was 50.29 ± 13.11 years. The rate of self-reported hand hygiene was 51%. Age caused a significant difference in receiving a vaccine against pneumonia and wearing a mask. The rate of self-reported behaviour of rinsing vegetables was higher among the married patients compared to single patients. Self-management created a significant difference in receiving a vaccine against influenza and pneumonia, eating salad in a café or restaurant and wearing a mask outside home and consuming raw food, delicatessen products and street food (p < 0.05).

CONCLUSION

This study revealed that the kidney transplant recipients displayed incomplete infection prevention behaviours including hand hygiene. Infection prevention behaviours differed in terms of age and self-control and self-management. Education and interventions are needed to improve the infection prevention behaviours of kidney transplant recipients.

RELEVANCE TO CLINICAL PRACTICE

This study illustrates the characteristics of, and relationship between, sociodemographic factors and self-management of infection prevention behaviours in kidney transplant recipients.

REPORTING METHOD

Strengthening the reporting of cross-sectional studies (STROBE) was followed.

PATIENT CONTRIBUTION

The study demonstrates that there is a need for interventions that will improve both the self-management levels and infection protection behaviours of patients. Studies conducted in this direction will lead to a decrease in the infection rates of patients.

摘要

背景

已对肾移植受者的感染预防行为进行了调查,但影响这些行为的因素尚未得到研究。因此,本研究旨在探讨肾移植受者的感染预防行为及其相关因素。

方法

本描述性横断面研究的样本包括148名在肾移植门诊接受随访的肾移植受者。2022年11月至2023年5月期间,通过社会人口学和临床特征表、感染预防措施依从性问卷以及自我控制和自我管理量表收集数据。

结果

患者的平均年龄为50.29±13.11岁。自我报告的手部卫生率为51%。年龄在接种肺炎疫苗和佩戴口罩方面存在显著差异。已婚患者自我报告的蔬菜清洗行为发生率高于单身患者。自我管理在接种流感和肺炎疫苗、在咖啡馆或餐馆吃沙拉、在家外佩戴口罩以及食用生食、熟食和街头食品方面存在显著差异(p<0.05)。

结论

本研究表明,肾移植受者表现出包括手部卫生在内的不完全感染预防行为。感染预防行为在年龄以及自我控制和自我管理方面存在差异。需要开展教育和干预措施以改善肾移植受者的感染预防行为。

与临床实践的相关性

本研究阐述了肾移植受者社会人口学因素与感染预防行为自我管理之间的特征及关系。

报告方法

遵循加强横断面研究报告(STROBE)。

患者贡献

该研究表明需要采取干预措施来提高患者的自我管理水平和感染防护行为。朝这个方向开展的研究将降低患者的感染率。

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本文引用的文献

1
Investigating infectious outcomes in adult patients undergoing solid organ transplantation: A retrospective single-center experience, Paris, France.调查法国巴黎某单一中心接受实体器官移植的成年患者的感染性结局:一项回顾性研究。
PLoS One. 2023 Oct 5;18(10):e0291860. doi: 10.1371/journal.pone.0291860. eCollection 2023.
2
Bacterial and Viral Infection and Sepsis in Kidney Transplanted Patients.肾移植患者的细菌和病毒感染及脓毒症
Biomedicines. 2022 Mar 18;10(3):701. doi: 10.3390/biomedicines10030701.
3
Sexual function in hemodialysis and post-renal transplant women in a relationship: a cross-sectional study.
血液透析和肾移植后女性性关系中的性功能:一项横断面研究。
Int Urol Nephrol. 2022 Aug;54(8):2037-2046. doi: 10.1007/s11255-021-03095-z. Epub 2022 Jan 21.
4
Sexuality in Kidney Transplant Recipients: A Qualitative Study.肾移植受者的性取向:一项定性研究。
Healthcare (Basel). 2021 Oct 24;9(11):1432. doi: 10.3390/healthcare9111432.
5
Real-life food-safety behavior and incidence of foodborne infections in solid organ transplant recipients.实体器官移植受者的真实食品安全行为和食源性感染发生率。
Am J Transplant. 2020 May;20(5):1424-1430. doi: 10.1111/ajt.15725. Epub 2019 Dec 16.
6
Vaccination of solid organ transplant candidates and recipients: Guidelines from the American society of transplantation infectious diseases community of practice.实体器官移植候选人和受者的疫苗接种:美国移植感染病学会实践社区指南。
Clin Transplant. 2019 Sep;33(9):e13563. doi: 10.1111/ctr.13563. Epub 2019 Jun 5.
7
Management of Kidney Transplant Recipients by General Nephrologists: Core Curriculum 2019.由普通肾病学家管理肾移植受者:2019 年核心课程。
Am J Kidney Dis. 2019 Jun;73(6):866-879. doi: 10.1053/j.ajkd.2019.01.031. Epub 2019 Apr 11.
8
Strategies for safe living following solid organ transplantation-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice.实体器官移植后安全生活的策略-美国移植传染病学会实践社区指南。
Clin Transplant. 2019 Sep;33(9):e13519. doi: 10.1111/ctr.13519. Epub 2019 Apr 6.
9
Trends in the Causes of Death among Kidney Transplant Recipients in the United States (1996-2014).美国肾移植受者死因趋势(1996-2014 年)。
Am J Nephrol. 2018;48(6):472-481. doi: 10.1159/000495081. Epub 2018 Nov 23.
10
Safe Living Following Solid Organ Transplantation.实体器官移植后的安全生活。
Surg Clin North Am. 2019 Feb;99(1):153-161. doi: 10.1016/j.suc.2018.09.011.