Determination of Pre-Discharge Learning Needs of Patients Undergoing Kidney Transplantation/Böbrek Nakli Geçiren Hastaların Taburculuk Öncesi Öğrenim Gereksinimlerinin Belirlenmesi

Öz

Aim: This study aimed to determine the pre-discharge learning needs of patients undergoing kidney transplantation patients.

Materials and Methods: This descriptive, cross-sectional study was conducted between February 5 and December 31, 2022, in the renal transplantation clinics of two hospitals affiliated with a private healthcare group. The sample consisted of 103 patients who had undergone kidney transplantation surgery. Data were collected through face-to-face interviews using a Personal Information Form, the Pre-Transplantation Treatment/Care/Educational Status Information Form, and the Patient Learning Needs Scale. Ethical approval and written informed consent were obtained prior to data collection. Data were analyzed using descriptive statistics, the Mann-Whitney U test, and the Kruskal-Wallis test with Jamovi software (Version 2.3). 

Results: The mean age of participants was 43.7±12.52 years; 60.2% were male. The overall mean Patient Learning Needs Scale score was 221.8±29.61, indicating a high level of learning needs. Among the Patient Learning Needs Scale subscales, Treatment and Complications had the highest mean score (41.4±5.4). Statistically significant differences were observed between the Feelings Related to Condition Conclusion: Based on the findings of this study, it was observed that subscale scores and participants’ COVID-19 status (p<0.05).

 Conclusion: Patients undergoing kidney transplantation demonstrated high pre-discharge learning needs, particularly regarding treatment and potential complications. These findings highlight the importance of structured, individualized, and holistic discharge education and counseling programs to support self-care and long-term adaptation after transplantation.

Anahtar Kelimeler

• Kidney Transplantation
• Nursing
• Patient Discharge
• Patient Education as Topic

Böbrek Nakli Geçiren Hastaların Taburculuk Öncesi Öğrenim Gereksinimlerinin Belirlenmesi/Determination of Pre-Discharge Learning Needs of Patients Undergoing Kidney Transplantation

Öz

Amaç: Bu çalışmanın amacı, böbrek nakli hastalarının taburculuk öncesi öğrenim gereksinimlerini belirlemektir.

Gereç ve Yöntem: Bu tanımlayıcı, kesitsel çalışma, 5 Şubat ile 31 Aralık 2022 tarihleri arasında, özel bir sağlık grubuna bağlı iki hastanenin böbrek nakli kliniklerinde gerçekleştirilmiştir. Örneklem, böbrek nakli ameliyatı geçirmiş 103 hastadan oluşmuştur. Veriler, Kişisel Bilgi Formu, Transplantasyon Öncesi Tedavi/Bakım/Eğitim Durumu Bilgi Formu ve Hasta Öğrenim Gereksinimleri Ölçeği kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Veri toplanmadan önce etik onay ve yazılı bilgilendirilmiş onam alınmıştır. Veriler, Jamovi yazılımı (Sürüm 2.3) kullanılarak, tanımlayıcı istatistikler Mann-Whitney U testi ve Kruskal-Wallis testi ile analiz edilmiştir.

Bulgular: Katılımcıların ortalama yaşı 43,7±12,52; %60,2’si erkekti. Genel Hasta Öğrenim Gereksinimleri Ölçeği ortalaması 221,8±29,61 olarak belirlendi; bu da yüksek düzeyde öğrenme ihtiyacı olduğunu göstermektedir. Hasta Öğrenim Gereksinimleri Ölçeği alt ölçekleri arasında Tedavi ve Komplikasyonlar alt ölçeği en yüksek ortalama puana sahipti (41,4±5,4). Durumla İlgili Duygular alt ölçeği puanları ile meslek arasında, ayrıca Tedavi ve Komplikasyonlar alt ölçeği en yüksek ortalama puana sahipti (41,4±5,4). Durumla İlgili Duygular alt ölçeği puanları ile meslek arasında, ayrıca Tedavi ve Komplikasyonlar alt ölçeği puanları ile katılımcıların COVID-19 durumu arasında istatistiksel olarak anlamlı farklılıklar gözlemlendi (p<0,05).

Sonuç: Böbrek nakli geçiren hastalar, özellikle tedavi ve olası komplikasyonlar konusunda taburculuk öncesinde yüksek düzeyde bilgi edinme ihtiyacı sergilemiştir. Bu bulgular, nakil sonrası özbakımı ve uzun vadeli uyumu desteklemek için yapılandırılmış, kişiye özel ve bütüncül taburculuk eğitimi ve danışmanlık programlarının önemini vurgulamaktadır.

Anahtar Kelimeler

• Böbrek Nakli
• Hemşirelik
• Hasta Taburculuğu
• Hasta Eğitimi

Kaynakça

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