Lee Hyejin, Kang Chan Mi
Department of Nursing, Research Institute of Dong-Eui Nursing Science, Dong-eui University, 176 Eomgwangno, Busanjin-gu, Busan 47340, Republic of Korea.
Department of Nursing, Division of Health Science, Dongseo University, 47 jurye-ro, Sasang-gu, Busan 47011, Republic of Korea.
Healthcare (Basel). 2025 Aug 5;13(15):1918. doi: 10.3390/healthcare13151918.
: For kidney transplantation, it is very important to provide effective post-transplantation interventions to help patients achieve continuous and efficient self-management. Therefore, we review the self-management interventions applied to kidney transplant recipients and suggest the optimal approach to increase the effectiveness of future self-management interventions. : Systematic review. : Search terms and strategies included kidney transplantation; self-management; intervention; systematic review. We searched MEDLINE via PubMed, Excerpta Media dataBASE, Cochrane Register Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, and one domestic Korean database to identify studies of self-management interventions for kidney transplant recipients aged ≥ 18 years published in English or Korean until 14 May 2025. Two reviewers independently selected related studies and extracted relevant data. Identified studies were assessed for quality and bias. : Of 1340 studies identified, 27 with 1912 participants met the inclusion criteria. Educational interventions were the most common self-management interventions and were provided 3 months to 1 year after kidney transplantation; most interventions were administered by nurses. Outcome variables were divided into cognitive, behavioral, affective, and health outcomes. Educational interventions were effective in improving cognitive, behavioral, and affective aspects. Some differences were observed, depending on the study. : We recommend that nurse-involved educational interventions be included when developing self-management interventions and guidelines for kidney transplant recipients in clinical and community nursing settings.
对于肾移植而言，提供有效的移植后干预措施以帮助患者实现持续且高效的自我管理非常重要。因此，我们回顾了应用于肾移植受者的自我管理干预措施，并提出了提高未来自我管理干预措施有效性的最佳方法。：系统评价。：检索词和策略包括肾移植；自我管理；干预；系统评价。我们通过PubMed检索MEDLINE、医学文摘数据库、Cochrane对照试验注册库、护理及相关健康文献累积索引以及一个韩国国内数据库，以识别截至2025年5月14日以英文或韩文发表的关于18岁及以上肾移植受者自我管理干预措施的研究。两名评审员独立选择相关研究并提取相关数据。对纳入的研究进行质量和偏倚评估。：在识别出的1340项研究中，27项研究（共1912名参与者）符合纳入标准。教育干预是最常见的自我管理干预措施，在肾移植后3个月至1年提供；大多数干预措施由护士实施。结果变量分为认知、行为、情感和健康结果。教育干预在改善认知、行为和情感方面有效。根据研究的不同观察到了一些差异。：我们建议在临床和社区护理环境中制定肾移植受者的自我管理干预措施和指南时，纳入护士参与的教育干预措施。
