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为活体肾移植候选者和供体教育提供信息:通过快速综述确定教育需求

Informing transplant candidate and donor education in living kidney donation: mapping educational needs through a rapid review.

作者信息

Truhan Tayler E, McMahon James, Courtney Aisling E, Gill Paul, Mansell Holly, Noble Helen, Reid Joanne, Rosaasen Nicola, Wood Alison, McKeaveney Clare

机构信息

School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Rd, Belfast, BT9 7BL, UK.

Belfast City Hospital, Belfast Health and Social Care Trust, Belfast, UK.

出版信息

BMC Nephrol. 2025 May 3;26(1):225. doi: 10.1186/s12882-025-04116-0.

DOI:10.1186/s12882-025-04116-0
PMID:40319300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048991/
Abstract

OBJECTIVES

Living donor kidney transplantation (LDKT) is a complex medical procedure requiring extensive education for both donors and transplant candidates. With technological advances in healthcare, video educational resources are becoming more widely used. This study aimed to synthesize the existing qualitative evidence on LDKT educational experiences, preferences, and needs from the perspectives of kidney transplant candidates and recipients, donors, and HCPs, to establish the essential LDKT education considerations for candidates and potential donors interested in kidney transplantation.

METHODS

A rapid review of qualitative studies on LDKT educational needs was conducted. A literature search was undertaken across MEDLINE, Embase, and CINAHL databases from 2013 to 2023. Cochrane Rapid Reviews Methods Group guidance was utilized.

RESULTS

Of 1,802 references, 27 qualitative studies were eligible for inclusion. Qualitative data was analyzed from 803 transplant candidates/recipients, 512 living donors, 104 healthcare providers, and 102 family/friends. Three main themes were identified, including Extensive LDKT Education Throughout Treatment; Shared Learning, Social Support, and Family Dynamics in LDKT; and Diversity and Inclusivity for Minorities.

CONCLUSIONS

Improvements and innovations are needed regarding LDKT education for kidney transplant candidates, donors, and support networks.

摘要

目的

活体供肾肾移植(LDKT)是一项复杂的医疗程序,需要对供体和移植受者进行广泛的教育。随着医疗保健技术的进步,视频教育资源的使用越来越广泛。本研究旨在综合从肾移植受者、供体和医疗保健人员的角度,关于LDKT教育经历、偏好和需求的现有定性证据,为对肾移植感兴趣的受者和潜在供体确定LDKT教育的基本考虑因素。

方法

对关于LDKT教育需求的定性研究进行了快速回顾。在2013年至2023年期间,对MEDLINE、Embase和CINAHL数据库进行了文献检索。采用了Cochrane快速回顾方法组的指导意见。

结果

在1802篇参考文献中,有27项定性研究符合纳入标准。对803名移植受者/受者、512名活体供体、104名医疗保健提供者和102名家人/朋友的定性数据进行了分析。确定了三个主要主题,包括在整个治疗过程中进行广泛的LDKT教育;LDKT中的共同学习、社会支持和家庭动态;以及少数群体的多样性和包容性。

结论

需要在肾移植受者、供体和支持网络的LDKT教育方面进行改进和创新。

相似文献

1
Informing transplant candidate and donor education in living kidney donation: mapping educational needs through a rapid review.为活体肾移植候选者和供体教育提供信息:通过快速综述确定教育需求
BMC Nephrol. 2025 May 3;26(1):225. doi: 10.1186/s12882-025-04116-0.
2
Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference.活体供肾移植:改善移植中心以外关于活体供肾移植的教育——共识会议的建议
Clin J Am Soc Nephrol. 2015 Sep 4;10(9):1659-69. doi: 10.2215/CJN.00950115. Epub 2015 Jun 26.
3
Storytelling to Inspire Dialysis Patients to Learn about Living Donor Kidney Transplant.通过讲故事激励透析患者了解活体供肾移植
Blood Purif. 2021;50(4-5):655-661. doi: 10.1159/000512651. Epub 2021 Jan 13.
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BMC Nephrol. 2013 Nov 19;14:256. doi: 10.1186/1471-2369-14-256.
5
Receipt and Sharing of Information to Improve Knowledge About Living Donor Kidney Transplant among Transplant Candidates with Advanced Chronic Kidney Disease.提高慢性肾脏病末期候选者对活体肾脏捐赠移植知识的资讯接收与分享。
Prog Transplant. 2022 Sep;32(3):241-247. doi: 10.1177/15269248221107047. Epub 2022 Jun 13.
6
The TALKS study to improve communication, logistical, and financial barriers to live donor kidney transplantation in African Americans: protocol of a randomized clinical trial.旨在改善非裔美国人活体供肾移植中沟通、后勤和经济障碍的TALKS研究:一项随机临床试验方案
BMC Nephrol. 2015 Oct 9;16:160. doi: 10.1186/s12882-015-0153-y.
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A randomized trial of a home-based educational approach to increase live donor kidney transplantation: effects in blacks and whites.一项关于采用家庭式教育方法增加活体供肾移植的随机试验:对黑人和白人的影响。
Am J Kidney Dis. 2008 Apr;51(4):663-70. doi: 10.1053/j.ajkd.2007.11.027. Epub 2008 Mar 4.
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Short-term impact of an educational program promoting live donor kidney transplantation in dialysis centers.一项在透析中心推广活体供肾移植的教育项目的短期影响。
Prog Transplant. 2008 Dec;18(4):263-72. doi: 10.1177/152692480801800409.
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Increasing live donor kidney transplantation: a randomized controlled trial of a home-based educational intervention.增加活体供肾移植:一项基于家庭的教育干预随机对照试验。
Am J Transplant. 2007 Feb;7(2):394-401. doi: 10.1111/j.1600-6143.2006.01623.x. Epub 2006 Dec 6.
10
Efficacy of Educational Interventions in Improving Measures of Living-donor Kidney Transplantation Activity: A Systematic Review and Meta-analysis.教育干预措施在提高活体供肾移植活动措施方面的效果:系统评价和荟萃分析。
Transplantation. 2019 Dec;103(12):2566-2575. doi: 10.1097/TP.0000000000002715.

本文引用的文献

1
Immediate Postintervention Outcomes from a Randomized Trial that Sought to Enhance Access to Live Donor Kidney Transplant for Black and African Americans.一项旨在增加黑人和非裔美国人获得活体供肾移植机会的随机试验的干预后即时结果。
Prog Transplant. 2025 Mar;35(1):5-12. doi: 10.1177/15269248241304794. Epub 2024 Dec 19.
2
Kidney disease: a global health priority.肾脏疾病:一项全球卫生重点。
Nat Rev Nephrol. 2024 Jul;20(7):421-423. doi: 10.1038/s41581-024-00829-x.
3
Updated recommendations for the Cochrane rapid review methods guidance for rapid reviews of effectiveness.
Cochrane有效性快速综述方法指南的更新建议。
BMJ. 2024 Feb 6;384:e076335. doi: 10.1136/bmj-2023-076335.
4
Decisional Needs of People From Minority Ethnic Groups Around Living Donor Kidney Transplantation: A UK Healthcare Professionals' Perspective.少数民族人群对活体供肾移植的决策需求:英国医疗保健专业人员的观点。
Transpl Int. 2023 Jul 24;36:11357. doi: 10.3389/ti.2023.11357. eCollection 2023.
5
Video-Based Educational Interventions for Patients With Chronic Illnesses: Systematic Review.基于视频的慢性病患者教育干预措施:系统评价。
J Med Internet Res. 2023 Jul 19;25:e41092. doi: 10.2196/41092.
6
'It is a life changing experience': The experiences of living kidney donors who live in rural Australia.“这是一次改变人生的经历”:澳大利亚农村地区活体肾脏捐献者的经历。
Aust J Rural Health. 2023 Oct;31(5):866-877. doi: 10.1111/ajr.13008. Epub 2023 Jun 19.
7
Findings of living donation experiences shared on a digital storytelling platform: A thematic analysis.在数字叙事平台上分享的活体捐赠经历的发现:一项主题分析。
PEC Innov. 2022 Feb 17;1:100023. doi: 10.1016/j.pecinn.2022.100023. eCollection 2022 Dec.
8
The effectiveness of video animations as information tools for patients and the general public: A systematic review.视频动画作为患者和公众信息工具的有效性:一项系统评价。
Front Digit Health. 2022 Oct 31;4:1010779. doi: 10.3389/fdgth.2022.1010779. eCollection 2022.
9
Investigating strategies to improve AccesS to Kidney transplantation (the ASK trial): a protocol for a feasibility randomised controlled trial with parallel process evaluation.探究改善肾移植可及性的策略(ASK试验):一项带有平行过程评估的可行性随机对照试验方案
Pilot Feasibility Stud. 2023 Jan 20;9(1):13. doi: 10.1186/s40814-023-01241-1.
10
Video-Based Telemedicine for Kidney Disease Care: A Scoping Review.基于视频的肾脏病远程医疗:范围综述。
Clin J Am Soc Nephrol. 2021 Dec;16(12):1813-1823. doi: 10.2215/CJN.06660521. Epub 2021 Dec 7.