| Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 103 === Background: According to United States Renal Data System (USRDS), Taiwan has the highest prevalence rate of chronic renal failure in the world. Based on Taiwan Organ Registry and Sharing Center data, there are 2034 cases of kidney transplant in Taiwan from 2003 to 2013. Although the post-transplant life and health status are similar to those of normal person, the patients may live under pressures from uncertainties of prognosis and complications of treatments, which affect their life satisfaction index. Therefore, this issue is very important in kidney transplant care.
Purpose : The purpose of this study is to investigate: (1) perceived pressure, coping behavior and life satisfaction index of kidney transplant patients; (2) correlation between demographic characteristics, disease characteristics and perceived pressure of transplant patients; (3) correlation between demographic characteristics, disease characteristics and coping behavior of transplant patients; (4) correlation between demographic characteristics, disease characteristics and life satisfaction index of transplant patients; (5) relationship among perceived pressure, coping behavior and life satisfaction index.
Method: This study applies cross-sectional study design with convenience sampling. This study had enrolled 52 kidney transplant patients who were followed-up in outpatient services of a medical center in Kaohsiung. The research tools included kidney transplant patients’ demographic characteristics, kidney transplant patients’ perceived pressure scale, Chinese version of Jalowiec Coping Scale (JCS-40) and kidney transplant patients’ life satisfaction index scale. For kidney transplant patients’ perceived pressure scale, the expert validity is 0.90 and the Cronbach’α is 0.89; for Chinese version of JCS-40, the Cronbach’α is 0.90; and for kidney transplant patients’ life satisfaction index scale, Cronbach’α is 0.86~0.92.
Results: Study results showed that for kidney transplant patients: (1) overall pressure sources were low level of perceived pressure; (2) main pressure sources were from “uncertainty of how long transplant organ can last”, “future health status” and “creatinine level”; (3) age is related to perceived pressure, i.e., younger patients have higher perceived pressure; (4) marital status is related to perceived pressure, i.e., unmarried patients have significantly higher perceived pressure than married, divorced or widowed patients; (5) perceived pressure is unrelated to disease; (6) kidney transplant patients mainly have “problem-solving” of coping behavior; (7) coping behavior is insignificantly related to demographic characteristics and disease characteristics; (8) kidney transplant patients have good life satisfaction index; (9) kidney transplant patients have highest satisfaction in “the relationship between you and your care provider” and “the medical care you have received”; (10) family total income is related to life satisfaction index, i.e., higher income has higher life satisfaction index; (11) perceived pressure and family total income are accounted for 21% of variance for life satisfaction index.
Conclusion: The results of this study can be used as a reference or care basis for clinical nurses when managing perceived pressure, coping behavior and life satisfaction index of kidney transplant patients, in order to provide high-quality medical care.
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