Advanced SearchSearch Tips
Evaluation of an Individualized Education before Discharge and Follow-up Telephone Consultation on Self-efficacy for Kidney Transplant Patients
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
Evaluation of an Individualized Education before Discharge and Follow-up Telephone Consultation on Self-efficacy for Kidney Transplant Patients
Hwang, Young-hui; Yi, Myungsun;
  PDF(new window)
Purpose: This study was to develop and evaluate an individualized education program based on self-efficacy for patients with kidney transplantation in Korea. Methods: A nonequivalent control group pretest-posttest design was used. The participants consisted of 43 patients who underwent kidney transplants at one hospital in Seoul, from July 2012 to April 2013. The experimental group received an individualized education based on self-efficacy in the hospital and follow-up telephone consultation in the 2nd and 3rd week after discharge. The control group received a routine discharge education. Knowledge, self-efficacy, and compliance related to kidney transplant were measured and analyzed by frequency, average, Mann-Whitney U test, Fisher`s exact test, independent t-test, and -test using SPSS WIN 20.0. Results: Significant differences were found in self-efficacy between the experimental group and the control group. But no significant differences were found in knowledge and compliance between two groups. The scores of several items on monitoring health status in compliance were higher in the experimental group than those of the control group. Conclusion: The results of this study demonstrate the fact that an education program based in self-efficacy for patients with kidney transplant would be effective in improving self-efficacy and the ability to monitor their health status.
Medication;Diet;Compliance;Kidney transplantation;Self-efficacy;
 Cited by
혈액투석 환자의 자기효능이론 기반 식사관리 프로그램이 식사관리이행, 신체상태 및 삶의 질에 미치는 효과,윤경순;최자윤;

대한간호학회지, 2016. vol.46. 4, pp.598-609 crossref(new window)
Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients, Journal of Korean Academy of Nursing, 2016, 46, 4, 598  crossref(new windwow)
Kim SL, Kim YS, Kim MS, Park EC, Jeon KY, Son SY, et al. A renal transplantation and hemodialysis cost-utility analysis in patients with end-stage renal disease. The Journal of the Korean Society for Transplantation. 2010;24(3):173-181. crossref(new window)

Kang SG, Kim W, Lee S. Nephrology. 2nd ed. Seoul: Korea Medical Book Publisher; 2010. p. 149-162.

Kim MH, Lim MS, Kwon OJ, Kang CM. Comparison of quality of life between kidney transplant patients and dialysis patients. The Journal of the Korean Society for Transplantation. 2009;23(1):65-70.

Korean Network for Organ Sharing. Annual report of transplant 2013 [Internet]. Seoul: Korean Network for Organ Sharing; 2013 [cited 2015 February 1]. Available from:

Kim HC, Cho WH. Renal transplantation. Seoul: Koonja; 2000. p. 43-60.

Kobus G, Malyszko J, Malyszko JS, Puaz E, Bachorzewska-Gajewska H, Mysliwiec M. Compliance with lifestyle recommendation in kidney allograft recipients. Transplant Proceedings. 2011;43(8):2930-2934. crossref(new window)

Hwang YH, Choe MA. Study on the compliance of kidney transplantation recipients. Korean Society of Critical Care Nursing. 2011;4(2):15-25.

Hwang EA, Jang MH, Kwak CH, Han SY, Park SB, Kim HC, et al. The changes of graft survival and causes of graft failure after kidney transplantation. The Journal of the Korean Society for Transplantation. 2011;25(1):22-30. crossref(new window)

Gheith OA, El-Saadany SA, Abuo Donia SA, Salem YM. Compliance of kidney transplant recipients to the recommended life style behaviors: Single centre experience. International Journal of Nursing practice. 2008;14(5):398-407. crossref(new window)

Williams NC, Tong A, Howard K, Chapman JR, Craig NC, Wong G. Knowledge, beliefs and attitudes of kidney transplant recipients regarding their risk of cancer. Nephrology. 2012;17(3):300-306. crossref(new window)

Janet AB, Paul R, Mark M, Juan CM, Robert CP. Frequency and impact of nonadherence to immunosuppressants after renal transplantation: a systematic review. Transplantation. 2004;77:769-776. 0000110408.83054.88 crossref(new window)

Sim MK, Son SY. The effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. Journal of East-West Nursing. 2012;18(1):9-17.

Kim MS. Knowledge and compliance of kidney transplant patients [master thesis]. Daegu: Kyungpook National University; 1995. p.1-44

McPake D, Burnapp L. Caring for patients after kidney transplantation. Nursing Standard. 2009;23(19):49-57. crossref(new window)

Robinsons JK, Turrisi R, Mallett KA, Stapleton J, Boone SL. Kim N, et al. Efficacy of an educational intervention with kidney transplant recipients to promote skin self-examination for squamous cell carcinoma detection. Archives Dermatology. 2011;147(6):689-695. crossref(new window)

Urstad KH, Oyen O, Andersen MH, Moum T, Wahl AK. The effect of an education intervention for renal recipients: A randomized controlled trial. Clinical Transplantation. 2012;26(3):246-253. crossref(new window)

Bae GE. The effect of telephone counseling program on stress and self care in kidney transplantation patients [master thesis]. Incheon: Inha University; 2005. p.1-73

Dew MA, Kormos RL, Roth LH, Murali S, DiMartini A, Griffith BP. Early post-transplant medical compliance and mental health predict physical morbidity and mortality one to three years after heart transplantation. The Journal of Heart and Lung Transplantation. 1999;18(6):549-562. crossref(new window)

Bandura A. Self-efficacy: Toward a unifying theory of behavioral change, Psychological Review. 1977;84(2):191-215. crossref(new window)

Chung SM. The relationships of family support, self-efficacy and self-care compliance among kidney transplantation patients [master thesis]. Seoul: Yonsei University; 2004. p. 1-65

Weng LC, Dai YT, Huang HL, Chiang YJ. Self-efficacy, self-care behaviors and quality of life of kidney transplant recipients. Journal of Advanced Nursing. 2010;66(4):828-838. crossref(new window)

An JH. The effect of the self efficacy promotion and exercise training program of kidney transplant recipients. Journal of Korean Academy of Nursing. 2000;30(5): 223-232.

Lee SJ, Park HS, Han JH, Kim HJ, Seo MW, Choe EH, et al. Effects of an individualized educational program on knowledge, compliance and physiologic parameters in non-compliant hemodialysis patients. Journal of Korean Clinical Nursing Research. 2009;15(3):5-16.

Lin SY, Fetzer SJ, Lee PC, Chen CH. Predicting adherence to health care recommendations using health promotion behaviors in kidney transplant recipients within 1-5 years post-transplant. Journal of Clinical Nursing. 2011;20(23-24):3313-3321. crossref(new window)

The Korean Society of Transplantation. Renal transplantation and new life. Seoul: Medical Culture History; 2008. p. 104-121.

Malanda UL, Welschen LM, Riphagen II, Dekker JM, Niipels G, Bot SD. Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin[internet]. New Jersey: Cochrane Database Systematic Review; 2012 [cited 2013 April 1]. Available from:

Uhliq K, Balk EM, Patel K, Ip S, Kitsios GD, Haynes SM, et al. Self-measured blood pressure monitoring: comparative effectiveness [Internet]. Rockville: Agency for Health Research and Quality; 2012 [cited 2013 April 1]. Available from:

Bains M, Munir F, Yarker J, Bowley D, Thomas A, Armitage N, et al. The impact of colorectal cancer and self-efficacy beliefs on work ability and employment status: A longitudinal study. European Journal of Cancer Care. 2012;21(5):634-641. crossref(new window)

Nouwen A, Ford T, Balan AT, Twisk J, Ruggiero L, White D. Longitudinal motivational predictors of dietary self-care and diabetes control in adults with newly diagnosed type 2 diabetes mellitus. Health Psychology. 2011;30(6):771-779. crossref(new window)

Sampaio R, Pereira MG, Joao C, Winck JC. Obstructive sleep apnea representations, self-efficacy and family coping regarding APAP adherence: a longitudinal study. Psychology, Health & Medicine. 2014;19(1):59-69. crossref(new window)