Continuous Care Demands in Liver Transplant Recipients and the Related Factors_West China Medical Journal

Authors：

 RENQiu-ping ,  LUOYan-li

Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LUOYan-li, Email: luoyl6@126.com

Keywords：

Liver transplant; Continuous care; Influencing factors

DOI：

10.7507/1002-0179.20150492

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the continuous care demands in liver transplant recipients and the influencing factors. Method From October to December 2013, 235 liver transplant recipients were investigated with self-designed questionnaire to learn their continuous care demands. Factors affecting demands for continuous care were analyzed with single factor Chi square analysis and binary logistic regression analysis. Results A total of 130 recipients (55.3%) needed continuous care. Single factor chi-square analysis showed that three factors including complications, re-hospitalization and time to get to the nearest medical organization were significant for continuous care demands (P<0.05). Binary logistic regression analysis showed that the longer the time spent by liver transplant recipients to reach the nearest medical organization was, the more they hoped for continuous care[OR=3.040, 95%CI (1.585, 5.829), P=0.001]; the patients with readmisson within one year after surgery hoped less continuous care[OR=0.515, 95%CI (0.292, 0.907), P=0.022]. Conclusions At present, acceptance degree for continuous care in the liver transplant recipients is quite high. In the continuous care research and practice, we should develop new models and tools to shorten the time and distance between nurses and patients so as to meet the individualized care demands of the patients and improve their quality of life.

Citation： RENQiu-ping, LUOYan-li. Continuous Care Demands in Liver Transplant Recipients and the Related Factors. West China Medical Journal, 2015, 30(9): 1720-1723. doi: 10.7507/1002-0179.20150492 Copy

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1. Boockvar K, Vladeck BC. Improving the quality of transitional care for persons with complex care needs[J]. J Am Geriatr Soc, 2004, 52(5):855-856.
2. 夏穗生. 當前肝移植外科應注意的問題[J]. 中華肝膽外科雜志, 2003, 9(5):262-264.
3. Bravata D, Olkin I, Barnato A, et al. Health-related quality of life after liver transplantation:a meta-analysis[J]. Liver Transpl Surg, 1999, 5(4):318-331.
4. Chow SKY, Wang FKY, Chan T, et al. Community nursing services for post discharge chronicallyill patients[J]. J Clin Nurs, 2008, 17(7b):260-271.
5. Hoffmann H, Christoph K. Fast-Track-Chirurgie-Voraussetzungen und Herausforderungen in derNachbehandlung[J]. Therapeutische Umschau, 2012, 69(1):9-13.
6. 付偉, 李萍, 鐘銀燕. 延續性護理研究綜述[J]. 中國實用雜志, 2010, 26(4):27-30.
7. Coleman EA, Smith JD, Frank JC, et al. Preparing patients and caregivers to participate in care delivered across settings:the care transitions intervention[J]. J Am Geriatr Soc, 2004, 52(11):1817-1825.
8. Colenmn EA, Parry C, ChalmeIs S, et al. The care transitions intervention results of randomized controlled trial[J]. Arch intern Med, 2006, 166(17):1822-1828.
9. 顏君, 尤黎明, 劉可. 香港老年社區護理的特點與啟迪[J]. 護理學雜志:綜合版, 2005, 20(21):63-65.
10. 王少玲, 黃金月, 周家儀. 建立慢性阻塞性肺疾病延續護理的循證實踐[J]. 中華護理雜志, 2009, 44(5):431-434.
11. 楊巧紅, 翟翠球, 李東娜, 等. 出院后延續護理對重型顱腦損傷病人綜合功能的影響[J]. 護理研究, 2010, 24(6):1635-1637.
12. 王少玲, 符始艷, 周家儀, 等. 慢性阻塞性肺疾病患者的延續護理[J]. 中華護理雜志, 2011, 46(8):758-760.
13. 龔艷, 徐建梅, 肖清英, 等. QQ群在出院后腎臟疾病患者延續護理中的應用[J]. 實用臨床醫學, 2013, 14(12):75-78.
14. Naylor M, Keating SA. Transitional care[J]. J Soc Work Educ, 2008, 44(3):65-75.
15. van Walraven C, Oake N, Jennings A, et al. The association between continuity of care and outcomes:a systematic and critical review[J]. J Evaluat Clin Pract, 2010, 16(5):947-956.

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