Organ Nakli Hastalarının Taburculuk Sonrası Yaşadıkları Zorluklar ve Gereksinimler

Kadir Baysoy

doi:10.58770/joinihp.1272665

Derleme

Difficulties and Needs of Organ Transplantation Patients After Discharge

Yıl 2023, Cilt: 4 Sayı: 2, 143 - 155, 27.08.2023

Kadir Baysoy

https://doi.org/10.58770/joinihp.1272665

Öz

With the advances in surgery and the development of immunosuppressive drugs, organ transplantation is the most effective treatment method for organs that have lost their function and mission. However, organ transplant patients experience some psychological, physiological and social difficulties at home after surgery. After the transplant, patients spend most of their lives at home. After transplantation, patients experience physiological, social and other difficulties, especially psychological difficulties. There are some requirements for patients to cope with these difficulties. Patients mostly feel of need in the psychological field, as well as the need for education and information, and the feeling of meeting their social and other needs. In addition, the difficulties and needs of organ transplant patients may vary according to age groups and genders. For this reason, regular home care of patients with organ transplants and maintaining social support are important in terms of increasing the patient's quality of life. It is seen that the discharge education and the information provided to the patients after organ transplantation are not sufficient and clear. Health professionals should provide patient-specific training by determining the difficulties and needs that patients will encounter after organ transplantation. Ensuring effective communication with patients and their relatives after the surgery is very important for patients to get through this process more easily and to improve their quality of life.

Anahtar Kelimeler

organ transplatation, difficulties, needs, nursing

Proje Numarası

Kaynakça

[1] G. Şantaş ve F. Şantaş, “Türkiye’de organ bağışının mevcut durumu ve organ bağışında stratejik iletişimin önemi”, SDÜ Sağlık Bilimleri Dergisi, ss. 9–14, Ağu. 2018, doi: 10.22312/sdusbed.298160.
[2] R. Vanholder vd., “Organ donation and transplantation: a multi-stakeholder call to action”, Nature Reviews Nephrology, c. 17, sayı 8, ss. 554–568, 2021, doi: 10.1038/s41581-021-00425-3.
[3] M. Tay, “The importance of tissue and organ transplantation in Turkey”, Health Care Academician Journal, c. 3, sayı 3, s. 106, 2016, doi: 10.5455/sad.13-1477691139.
[4] E. Topbaş ve G. Bingöl, “Factors affecting organ transplant from cadaver donor in Turkey”, Journal of Nephrology Nursing, c. 2, sayı 0358, ss. 1–12, 2016, [Çevrimiçi]. Erişim adresi: https://dergipark.org.tr/tr/pub/hemsire/issue/34246/378600
[5] G. Diniz, C. Tugmen, ve İ. Sert, “Organ transplantation in the Turkey and the world”, The journal of Tepecik Education and Research Hospital, c. 29, sayı 1, ss. 1–10, 2019, doi: 10.5222/terh.2019.40412.
[6] Türkiye Organ Nakli Vakfı, “Yasal düzenlemeler”, 2023. https://www.tonv.org.tr/tr/yasal-duzenlemeler/ (erişim 22 Mayıs 2023).
[7] T.C. Resmi Gazete, “Organ Nakli Hizmetleri Yönetmeliği. Sayı: 32038. Tarih: 09.12.2022”.
[8] K. M. Chow vd., “Introducing incentives and reducing disincentives in enhancing deceased organ donation and transplantation”, Seminars in Nephrology, c. 42, sayı 4, s. 151268, 2022, doi: 10.1016/j.semnephrol.2022.07.002.
[9] A. Lewis, A. Koukoura, G.-I. Tsianos, A. A. Gargavanis, A. A. Nielsen, ve E. Vassiliadis, “Organ donation in the US and Europe: The supply vs demand imbalance”, Transplantation Reviews, c. 35, sayı 2, s. 100585, 2021, doi: https://doi.org/10.1016/j.trre.2020.100585.
[10] United Network for Organ Sharing (UNOS), “2022 organ transplants again set annual records”, 2022. https://unos.org/news/2022-organ-transplants-again-set-annual-records/ (erişim 20 Ocak 2023).
[11] Türkiye Organ Nakli Vakfı (TONV), “İstatistikler”, 2023. https://www.tonv.org.tr/tr/organ-bagisi/istatistikler/). (erişim 20 Ocak 2023).
[12] A. Özbaş, “Organ naklinde (Transplantasyon) bakım”, içinde Cerrahi Hemşireliği, N. Akyolcu, N. Kanan, ve G. Aksoy, Ed., İstanbul: Nobel Tıp Kitabevleri, 2018, ss. 603–709.
[13] N. W. Chan vd., “Social determinants of health data in solid organ transplantation: National data sources and future directions”, American Journal of Transplantation, c. 22, sayı 10, ss. 2293–2301, 2022, doi: 10.1111/ajt.17096.
[14] J. M. Grinyó, “Why is organ transplantation clinically important?”, Cold Spring Harbor perspectives in medicine, c. 3, sayı 6, s. a014985, Haz. 2013, doi: 10.1101/cshperspect.a014985.
[15] P. Burra ve M. De Bona, “Quality of life following organ transplantation.”, Transplant international : official journal of the European Society for Organ Transplantation, c. 20, sayı 5, ss. 397–409, May. 2007, doi: 10.1111/j.1432-2277.2006.00440.x.
[16] P. Burra vd., “The concept of quality of life in organ transplantation.”, Transplantation proceedings, c. 39, sayı 7, ss. 2285–2287, Eyl. 2007, doi: 10.1016/j.transproceed.2007.06.013.
[17] K. D. Phadke ve U. Anandh, “Ethics of paid organ donation.”, Pediatric Nephrology (Berlin, Germany), c. 17, sayı 5, ss. 309–311, May. 2002, doi: 10.1007/s00467-002-0853-y.
[18] O. Altundag, “Solid-organ transplantation from deceased and living donors with cancer or a history of cancer”, Experimental and Clinical Transplantation, c. 20, sayı 8 51, s. 58, 2022, doi: 10.6002/ECT.DONORSYMP.2022.L30.
[19] D. Chaudhry, A. Chaudhry, J. Peracha, ve A. Sharif, “Survival for waitlisted kidney failure patients receiving transplantation versus remaining on waiting list: systematic review and meta-analysis”, BMJ (Clinical research ed.), c. 376, s. e068769, 2022, doi: 10.1136/bmj-2021-068769.
[20] C. S. Lin, S. S. Wang, C. L. Chang, ve F. J. Shih, “Dark-recovery experiences, coping strategies, and needs of adult heart transplant recipients in Taiwan.”, Transplantation proceedings, c. 42, sayı 3, ss. 940–942, Nis. 2010, doi: 10.1016/j.transproceed.2010.03.021.
[21] C. Schinstock, A. Tambur, ve M. Stegall, “Current approaches to desensitization in solid organ transplantation”, Frontiers in Immunology, c. 12, sayı May, ss. 1–10, 2021, doi: 10.3389/fimmu.2021.686271.
[22] N. A. Pilch, L. J. Bowman, ve D. J. Taber, “Immunosuppression trends in solid organ transplantation: The future of individualization, monitoring, and management”, Pharmacotherapy, c. 41, sayı 1, ss. 119–131, 2021, doi: 10.1002/phar.2481.
[23] B. Shen vd., “Current status of malignant tumors after organ transplantation”, BioMed Research International, c. 2022, 2022, doi: 10.1155/2022/5852451.
[24] J. M. J. Been-Dahmen vd., “Self-management challenges and support needs among kidney transplant recipients: A qualitative study.”, Journal of Advanced Nursing, c. 74, sayı 10, ss. 2393–2405, Eki. 2018, doi: 10.1111/jan.13730.
[25] F. J. Shih, S. S. Wang, S. M. Hsiao, P. H. Tseng, ve S. S. Chu, “Comparison of the psychospiritual needs of Chinese heart transplant recipients at pre- and postoperative stages.”, Transplantation proceedings, c. 40, sayı 8, ss. 2597–2599, Eki. 2008, doi: 10.1016/j.transproceed.2008.08.032.
[26] K. H. Schulz ve S. Kroencke, “Psychosocial challenges before and after organ transplantation”, Transplant Research and Risk Management, c. 2015, 2015.
[27] X. Lai, X. Zheng, J. M. Mathew, L. Gallon, J. R. Leventhal, ve Z. J. Zhang, “Tackling chronic kidney transplant rejection: Challenges and Promises”, Frontiers in Immunology, c. 12, sayı May, ss. 1–13, 2021, doi: 10.3389/fimmu.2021.661643.
[28] G. Şahin, “Sol ventrikül destek cihazı implantasyonu ve kalp transplantasyonu yapılan hastaların yaşadıkları psikososyal ve ekonomik sorunlar ve yaşam kaliteleri”, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2018.
[29] H. Wang vd., “Exploration of symptom experience in kidney transplant recipients based on symptoms experience model.”, Quality Of Life Research : an international journal of quality of life aspects of treatment, care and rehabilitation, c. 29, sayı 5, ss. 1281–1290, May. 2020, doi: 10.1007/s11136-019-02404-5.
[30] C. Kugler vd., “Association of depression symptoms with quality of life and chronic artery vasculopathy: A cross-sectional study in heart transplant patients”, Journal of Psychosomatic Research, c. 77, sayı 2, ss. 128–134, 2014, doi: 10.1016/j.jpsychores.2014.06.007.
[31] G. Schmid-Mohler, P. Schäfer-Keller, A. Frei, T. Fehr, ve R. Spirig, “A mixed-method study to explore patients’ perspective of self-management tasks in the early phase after kidney transplant.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 24, sayı 1, ss. 8–18, Mar. 2014, doi: 10.7182/pit2014728.
[32] M. Korus, J. N. Stinson, R. Pool, A. Williams, ve S. Kagan, “Exploring the information needs of adolescents and their parents throughout the kidney transplant continuum.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 21, sayı 1, ss. 53–60, Mar. 2011, doi: 10.7182/prtr.21.1.8333204r3376l631.
[33] K.-H. Chen, L.-C. Weng, ve S. Lee, “Stress and stress-related factors of patients after renal transplantation in Taiwan: a cross-sectional study.”, Journal of Clinical Nursing, c. 19, sayı 17–18, ss. 2539–2547, Eyl. 2010, doi: 10.1111/j.1365-2702.2009.03175.x.
[34] J. C. Martin ve D. S. Sachse, “Spirituality characteristics of women following renal transplantation.”, Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, c. 29, sayı 6, ss. 577–581, Ara. 2002.
[35] J. A. Balch vd., “Machine learning applications in solid organ transplantation and related complications”, Frontiers in Immunology, c. 12, sayı September, ss. 1–8, 2021, doi: 10.3389/fimmu.2021.739728.
[36] E. Gündüz ve N. Akyolcu, “Böbrek nakli yapılan hastaların psikososyal deneyimleri: Nitel bir araştırma”, Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, c. 12, sayı Suppl 1, ss. 204–218, 2020, doi: 10.18863/pgy.774117.
[37] S. Gentile vd., “Factors associated with health-related quality of life in renal transplant recipients: Results of a national survey in France”, Health and Quality of Life Outcomes, c. 11, sayı 1, ss. 1–12, 2013, doi: 10.1186/1477-7525-11-88.
[38] A. Seiler, R. Klaghofer, M. Ture, K. Komossa, C. Martin-Soelch, ve J. Jenewein, “A systematic review of health-related quality of life and psychological outcomes after lung transplantation”, Journal of Heart and Lung Transplantation, c. 35, sayı 2, ss. 195–202, 2016, doi: 10.1016/j.healun.2015.07.003.
[39] Y. Yagil, S. Geller, S. Levy, Y. Sidi, ve S. Aharoni, “Body-image, quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample”, Psychology, Health and Medicine, c. 23, sayı 4, ss. 424–433, 2018, doi: 10.1080/13548506.2017.1400668.
[40] J. Xie vd., “Sleep quality and related psychosocial variables among renal transplant patients.”, Transplantation proceedings, c. 50, sayı 10, ss. 3426–3433, Ara. 2018, doi: 10.1016/j.transproceed.2018.06.030.
[41] J. K. Low, K. Crawford, E. Manias, ve A. Williams, “Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study.”, Journal of Clinical Nursing, c. 26, sayı 11–12, ss. 1495–1507, Haz. 2017, doi: 10.1111/jocn.13435.
[42] H. Pelgur, N. Atak, ve K. Kose, “Anxiety and depression levels of patients undergoing liver transplantation and their need for training.”, Transplantation proceedings, c. 41, sayı 5, ss. 1743–1748, Haz. 2009, doi: 10.1016/j.transproceed.2008.11.012.
[43] A. Zarifian, “Symptom occurrence, symptom distress, and quality of life in renal transplant recipients.”, Nephrology nursing journal : journal of the American Nephrology Nurses’ Association, c. 33, sayı 6, ss. 609–18; quiz 619, 2006.
[44] M. Lundmark, A. Lennerling, M. Almgren, ve A. Forsberg, “Recovery after lung transplantation from a patient perspective - proposing a new framework.”, Journal of Advanced Nursing, c. 72, sayı 12, ss. 3113–3124, Ara. 2016, doi: 10.1111/jan.13058.
[45] H. Burkhalter vd., “Self-reported sleep disturbances in renal transplant recipients”, BMC Nephrology, c. 14, sayı 1, s. 220, 2013, doi: 10.1186/1471-2369-14-220.
[46] A. Forsberg, L.-O. Persson, M. Nilsson, ve A. Lennerling, “The organ transplant symptom and well-being instrument - psychometric evaluation.”, The Open Nursing Journal, c. 6, ss. 30–40, 2012, doi: 10.2174/1874434601206010030.
[47] D. Ayar, A. Bulut, F. Karasu, ve A. Bulut, “Organ naklinde alıcı ve vericinin kolektivist başa çıkma stilleri ile damgalanma düzeyleri arasındaki ilişki”, Sağlık Akademisyenleri Dergisi, c. 9, sayı 1, ss. 82–90, 2022, doi: 10.52880/sagakaderg.1019236.
[48] M. Hecking, A. Sharif, K. Eller, ve T. Jenssen, “Management of post-transplant diabetes: immunosuppression, early prevention, and novel antidiabetics”, Transplant International, c. 34, sayı 1, ss. 27–48, 2021, doi: 10.1111/tri.13783.
[49] M. Kung, H. E. Koschwanez, L. Painter, V. Honeyman, ve E. Broadbent, “Immunosuppressant nonadherence in heart, liver, and lung transplant patients: Associations with medication beliefs and illness perceptions”, Transplantation, c. 93, sayı 9, ss. 958–963, 2012, doi: 10.1097/TP.0b013e31824b822d.
[50] G. F. Van Ek vd., “The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon”, Progress in Transplantation, c. 27, sayı 4, ss. 354–359, 2017, doi: 10.1177/1526924817731885.
[51] I. A. Rahman, N. Rasyid, P. Birowo, ve W. Atmoko, “Effects of renal transplantation on erectile dysfunction: a systematic review and meta-analysis”, International Journal of Impotence Research, c. 34, sayı 5, ss. 456–466, 2022, doi: 10.1038/s41443-021-00419-6.
[52] P. Mousapour, J. Ling, ve E. Zimbudzi, “Comparison of kidney transplantation outcomes between patients with and without pre-transplantation bariatric surgery: a Systematic review”, Obesity Surgery, ss. 4066–4081, 2022, doi: 10.1007/s11695-022-06308-1.
[53] G. S. Çoban, “Maslow’un İhtiyaçlar Hiyerarşisi kendini gerçekleştirme basamağında gizil yetenekler”, European Journal of Educational and Social Sciences, c. 6, sayı 1, ss. 111–118, 2021.
[54] Y. Tamura vd., “Mood status and quality of life in kidney recipients after transplantation.”, Transplantation proceedings, c. 50, sayı 8, ss. 2521–2525, Eki. 2018, doi: 10.1016/j.transproceed.2018.03.077.
[55] V. S. Grumme ve S. C. Gordon, “Social media use by transplant recipients for support and healing.”, Computers, informatics, nursing : CIN, c. 34, sayı 12, ss. 570–577, Ara. 2016, doi: 10.1097/CIN.0000000000000276.
[56] J. Blanch vd., “Psychosocial adjustment to orthotopic liver transplantation in 266 recipients.”, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, c. 10, sayı 2, ss. 228–234, Şub. 2004, doi: 10.1002/lt.20076.
[57] E. Kaba ve E. Shanley, “Identification of coping strategies used by heart transplant recipients.”, British Journal of Nursing (Mark Allen Publishing), c. 6, sayı 15, ss. 858–862, Ağu. 1997, doi: 10.12968/bjon.1997.6.15.858.
[58] F. Klewitz vd., “Information needs of patients about immunosuppressive medication in a german kidney transplant sample: prevalence and correlates”, Frontiers in Psychiatry , c. 10. 2019. [Çevrimiçi]. Erişim adresi: https://www.frontiersin.org/article/10.3389/fpsyt.2019.00444
[59] K. H. Urstad, O. Øyen, M. H. Andersen, T. Moum, ve A. K. Wahl, “The effect of an educational intervention for renal recipients: a randomized controlled trial.”, Clinical Transplantation, c. 26, sayı 3, ss. E246-53, 2012, doi: 10.1111/j.1399-0012.2012.01666.x.
[60] J. Myers ve T. A. Pellino, “Developing new ways to address learning needs of adult abdominal organ transplant recipients.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 19, sayı 2, ss. 160–166, Haz. 2009.
[61] D. Soylu ve T. Ortabǎ, “Böbrek transplantasyonu sonrasi yaşam kalitesinin belirlenmesi”, Turkish Nephrology, Dialysis and Transplantation Journal, c. 26, sayı 2, ss. 215–221, 2017, doi: 10.5262/tndt.2017.1002.14.
[62] F. B. Trevizan, M. C. de O. S. Miyazaki, Y. L. W. Silva, ve C. M. W. Roque, “Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation”, Brazilian Journal of Cardiovascular Surgery, c. 32, sayı 3, ss. 162–170, 2017, doi: 10.21470/1678-9741-2017-0029.
[63] Ö. Çelik, E. Ürer, E. Cem, ve B. G. Kılıç, “The importance of psychiatric support and treatment in a child with heart transplantation (tur)”, Journal of Clinical Psychiatry, c. 22, sayı 4, ss. 487–492, 2019, doi: 10.5505/kpd.2019.98704.
[64] G. Koimtzis vd., “The role of vitamin D in kidney transplantation outcomes: A Systematic review”, Life, c. 12, sayı 10, ss. 1–13, 2022, doi: 10.3390/life12101664.
[65] H. Gülen ve A. Karaca, “Organ transplantasyonu sürecinde donör eğitimi ve hemşirelik bakımı”, Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 8, sayı 2, ss. 83–88, 2018, [Çevrimiçi]. Erişim adresi: https://dergipark.org.tr/tr/pub/duzcesbed/issue/37762/372429
[66] S. Hatipoğlu, Ö. Karayurt, Y. Sarıgöl Ordin, ve Ö. Pekin İşeri, “Türkiye’de organ nakli hemşireliğinin; dünü, bugünü ve yarını…”, Florence Nightingale Hemşirelik Dergisi, c. 25, sayı 1, s. 49, 2017, doi: 10.17672/fnhd.78804.
[67] Z. Ö. Köken, “Böbrek transplantasyonunda bakım”, Turkiye Klinikleri J. Surg. Nurs.-Special Topics, c. 4, sayı 2, ss. 149–156, 2018.
[68] N. Karabulut ve Y. Yaman, “Karaci̇ğer transplantasyonu sonrasi hastalarin yaşadiği sorunlar ve hemşi̇reli̇k gi̇ri̇şi̇mleri̇”, Balikesir Saglik Bil Derg, c. 1, ss. 37–42, 2012.
[69] D. Soylu ve A. Tuna, “Nursing care in kadavra organ transplantation processes”, Turkiye Klinikleri Journal of Internal Medicine, c. 5, sayı 2, ss. 62–69, 2020, doi: 10.5336/intermed.2019-70537.
[70] C. D. Neyhart, “Patient questions about transplantation: a resource guide.”, Nephrology nursing journal : journal of the American Nephrology Nurses’ Association, c. 36, sayı 3, ss. 279–285, 2009.
[71] B. Pazar, A. Yava, ve H. Genç, “Eşler arasi renal transplantasyonda hemşirelik bakimi: Olgu sunumu”, Gulhane Medical Journal, c. 55, sayı 2, ss. 150–155, 2013, doi: 10.5455/gulhane.39842.
[72] Z. Yaman ve M. Yılmaz, “Böbrek Nakli Sonrası Bireylerde Psikososyal Sorunlar ve Hemşirelik Yaklaşımı”, Türk Yoğun Bakım Hemşireliği Derneği, c. 18, sayı 1, ss. 8–22, 2014.
[73] N. Akyolcu, “Patient education in renal transplantation”, EDTNA-ERCA Journal, c. 28, sayı 4, ss. 176–179, 2002.
[74] M. S. Talas, “Böbrek transplantasyonu”, içinde Hemşirelik Bakım Planları Dahiliye-Cerrahi Hemşireliği ve Psikososyal Boyut, N. Akbayrak, S. İ. Erkal, G. Ançel, ve A. Akbayrak, Ed., 1.Ankara, 2007, ss. 1035–1049.
[75] C. Whittaker, V. Dunsmore, F. Murphy, C. Rolfe, ve R. Trevitt, “Long-term care and nursing management of a patient who is the recipient of a renal transplant.”, Journal of renal care, c. 38, sayı 4, ss. 233–240, Ara. 2012, doi: 10.1111/j.1755-6686.2012.00326.x.
[76] V. Lines, “Renal transplant care in the home.”, Caring : National Association for home care magazine, c. 16, sayı 6, ss. 26-28,30-32,34, Haz. 1997.
[77] R. Trevitt vd., “Pre- and post-transplant care: nursing management of the renal transplant recipient: part 2.”, Journal of renal care, c. 38, sayı 2, ss. 107–114, Haz. 2012, doi: 10.1111/j.1755-6686.2012.00302.x.

Organ Nakli Hastalarının Taburculuk Sonrası Yaşadıkları Zorluklar ve Gereksinimler

Yıl 2023, Cilt: 4 Sayı: 2, 143 - 155, 27.08.2023

Kadir Baysoy

https://doi.org/10.58770/joinihp.1272665

Öz

Organ nakli, cerrahideki ilerlemeler ve immünosüpresif ilaçların gelişmesiyle beraber işlev ve fonksiyonunu yitiren organlar için en etkili tedavi yöntemidir. Ancak organ nakil hastaları ameliyat sonrası evde psikolojik, fizyolojik ve sosyal bazı zorluklar yaşamaktadırlar. Nakilden sonra hastalar yaşamlarının büyük çoğunluğunu evde geçirmektedir. Nakil sonrası hastalar başta psikolojik zorluklar olmak üzere fizyolojik, sosyal ve diğer zorluklar yaşamaktadırlar. Hastaların bu zorluklarla başa çıkması için bazı gereksinimleri oluşmaktadır. Hastalar en fazla psikolojik alanda bir ihtiyaç duymakla beraber eğitim ve bilgi ihtiyacı, sosyal ve diğer ihtiyaçların karşılanma hissi duymaktadırlar. Ayrıca organ nakli hastalarının yaş gruplarına ve cinsiyetlerine göre karşılaşılan zorluklar ve gereksinimleri değişebilmektedir. Bu nedenle organ nakli olan hastaların evde bakımlarının düzenli yapılması ve sosyal desteğin sürdürülmesi hastanın yaşam kalitesini yükseltmesi açısından önemlidir. Hastalara organ nakli sonrası sunulan taburculuk eğitiminin ve sağlanan bilgilerin yeterli ve açık olmadığı görülmektedir. Sağlık profesyonelleri organ nakli sonrası hastaların karşılaşacakları zorluklar ve gereksinimleri önceden belirleyerek hastaya özgü eğitim vermelidir. Ameliyat sonrası hasta ve hasta yakınları ile etkili iletişimin sağlanması, hastaların bu süreci daha kolay atlatması ve yaşam kalitesini yükseltmesi açısından oldukça önemlidir.

Anahtar Kelimeler

organ nakli, zorluklar, gereksinimler, hemşirelik

Destekleyen Kurum

Proje Numarası

Teşekkür

Kaynakça

[1] G. Şantaş ve F. Şantaş, “Türkiye’de organ bağışının mevcut durumu ve organ bağışında stratejik iletişimin önemi”, SDÜ Sağlık Bilimleri Dergisi, ss. 9–14, Ağu. 2018, doi: 10.22312/sdusbed.298160.
[2] R. Vanholder vd., “Organ donation and transplantation: a multi-stakeholder call to action”, Nature Reviews Nephrology, c. 17, sayı 8, ss. 554–568, 2021, doi: 10.1038/s41581-021-00425-3.
[3] M. Tay, “The importance of tissue and organ transplantation in Turkey”, Health Care Academician Journal, c. 3, sayı 3, s. 106, 2016, doi: 10.5455/sad.13-1477691139.
[4] E. Topbaş ve G. Bingöl, “Factors affecting organ transplant from cadaver donor in Turkey”, Journal of Nephrology Nursing, c. 2, sayı 0358, ss. 1–12, 2016, [Çevrimiçi]. Erişim adresi: https://dergipark.org.tr/tr/pub/hemsire/issue/34246/378600
[5] G. Diniz, C. Tugmen, ve İ. Sert, “Organ transplantation in the Turkey and the world”, The journal of Tepecik Education and Research Hospital, c. 29, sayı 1, ss. 1–10, 2019, doi: 10.5222/terh.2019.40412.
[6] Türkiye Organ Nakli Vakfı, “Yasal düzenlemeler”, 2023. https://www.tonv.org.tr/tr/yasal-duzenlemeler/ (erişim 22 Mayıs 2023).
[7] T.C. Resmi Gazete, “Organ Nakli Hizmetleri Yönetmeliği. Sayı: 32038. Tarih: 09.12.2022”.
[8] K. M. Chow vd., “Introducing incentives and reducing disincentives in enhancing deceased organ donation and transplantation”, Seminars in Nephrology, c. 42, sayı 4, s. 151268, 2022, doi: 10.1016/j.semnephrol.2022.07.002.
[9] A. Lewis, A. Koukoura, G.-I. Tsianos, A. A. Gargavanis, A. A. Nielsen, ve E. Vassiliadis, “Organ donation in the US and Europe: The supply vs demand imbalance”, Transplantation Reviews, c. 35, sayı 2, s. 100585, 2021, doi: https://doi.org/10.1016/j.trre.2020.100585.
[10] United Network for Organ Sharing (UNOS), “2022 organ transplants again set annual records”, 2022. https://unos.org/news/2022-organ-transplants-again-set-annual-records/ (erişim 20 Ocak 2023).
[11] Türkiye Organ Nakli Vakfı (TONV), “İstatistikler”, 2023. https://www.tonv.org.tr/tr/organ-bagisi/istatistikler/). (erişim 20 Ocak 2023).
[12] A. Özbaş, “Organ naklinde (Transplantasyon) bakım”, içinde Cerrahi Hemşireliği, N. Akyolcu, N. Kanan, ve G. Aksoy, Ed., İstanbul: Nobel Tıp Kitabevleri, 2018, ss. 603–709.
[13] N. W. Chan vd., “Social determinants of health data in solid organ transplantation: National data sources and future directions”, American Journal of Transplantation, c. 22, sayı 10, ss. 2293–2301, 2022, doi: 10.1111/ajt.17096.
[14] J. M. Grinyó, “Why is organ transplantation clinically important?”, Cold Spring Harbor perspectives in medicine, c. 3, sayı 6, s. a014985, Haz. 2013, doi: 10.1101/cshperspect.a014985.
[15] P. Burra ve M. De Bona, “Quality of life following organ transplantation.”, Transplant international : official journal of the European Society for Organ Transplantation, c. 20, sayı 5, ss. 397–409, May. 2007, doi: 10.1111/j.1432-2277.2006.00440.x.
[16] P. Burra vd., “The concept of quality of life in organ transplantation.”, Transplantation proceedings, c. 39, sayı 7, ss. 2285–2287, Eyl. 2007, doi: 10.1016/j.transproceed.2007.06.013.
[17] K. D. Phadke ve U. Anandh, “Ethics of paid organ donation.”, Pediatric Nephrology (Berlin, Germany), c. 17, sayı 5, ss. 309–311, May. 2002, doi: 10.1007/s00467-002-0853-y.
[18] O. Altundag, “Solid-organ transplantation from deceased and living donors with cancer or a history of cancer”, Experimental and Clinical Transplantation, c. 20, sayı 8 51, s. 58, 2022, doi: 10.6002/ECT.DONORSYMP.2022.L30.
[19] D. Chaudhry, A. Chaudhry, J. Peracha, ve A. Sharif, “Survival for waitlisted kidney failure patients receiving transplantation versus remaining on waiting list: systematic review and meta-analysis”, BMJ (Clinical research ed.), c. 376, s. e068769, 2022, doi: 10.1136/bmj-2021-068769.
[20] C. S. Lin, S. S. Wang, C. L. Chang, ve F. J. Shih, “Dark-recovery experiences, coping strategies, and needs of adult heart transplant recipients in Taiwan.”, Transplantation proceedings, c. 42, sayı 3, ss. 940–942, Nis. 2010, doi: 10.1016/j.transproceed.2010.03.021.
[21] C. Schinstock, A. Tambur, ve M. Stegall, “Current approaches to desensitization in solid organ transplantation”, Frontiers in Immunology, c. 12, sayı May, ss. 1–10, 2021, doi: 10.3389/fimmu.2021.686271.
[22] N. A. Pilch, L. J. Bowman, ve D. J. Taber, “Immunosuppression trends in solid organ transplantation: The future of individualization, monitoring, and management”, Pharmacotherapy, c. 41, sayı 1, ss. 119–131, 2021, doi: 10.1002/phar.2481.
[23] B. Shen vd., “Current status of malignant tumors after organ transplantation”, BioMed Research International, c. 2022, 2022, doi: 10.1155/2022/5852451.
[24] J. M. J. Been-Dahmen vd., “Self-management challenges and support needs among kidney transplant recipients: A qualitative study.”, Journal of Advanced Nursing, c. 74, sayı 10, ss. 2393–2405, Eki. 2018, doi: 10.1111/jan.13730.
[25] F. J. Shih, S. S. Wang, S. M. Hsiao, P. H. Tseng, ve S. S. Chu, “Comparison of the psychospiritual needs of Chinese heart transplant recipients at pre- and postoperative stages.”, Transplantation proceedings, c. 40, sayı 8, ss. 2597–2599, Eki. 2008, doi: 10.1016/j.transproceed.2008.08.032.
[26] K. H. Schulz ve S. Kroencke, “Psychosocial challenges before and after organ transplantation”, Transplant Research and Risk Management, c. 2015, 2015.
[27] X. Lai, X. Zheng, J. M. Mathew, L. Gallon, J. R. Leventhal, ve Z. J. Zhang, “Tackling chronic kidney transplant rejection: Challenges and Promises”, Frontiers in Immunology, c. 12, sayı May, ss. 1–13, 2021, doi: 10.3389/fimmu.2021.661643.
[28] G. Şahin, “Sol ventrikül destek cihazı implantasyonu ve kalp transplantasyonu yapılan hastaların yaşadıkları psikososyal ve ekonomik sorunlar ve yaşam kaliteleri”, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2018.
[29] H. Wang vd., “Exploration of symptom experience in kidney transplant recipients based on symptoms experience model.”, Quality Of Life Research : an international journal of quality of life aspects of treatment, care and rehabilitation, c. 29, sayı 5, ss. 1281–1290, May. 2020, doi: 10.1007/s11136-019-02404-5.
[30] C. Kugler vd., “Association of depression symptoms with quality of life and chronic artery vasculopathy: A cross-sectional study in heart transplant patients”, Journal of Psychosomatic Research, c. 77, sayı 2, ss. 128–134, 2014, doi: 10.1016/j.jpsychores.2014.06.007.
[31] G. Schmid-Mohler, P. Schäfer-Keller, A. Frei, T. Fehr, ve R. Spirig, “A mixed-method study to explore patients’ perspective of self-management tasks in the early phase after kidney transplant.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 24, sayı 1, ss. 8–18, Mar. 2014, doi: 10.7182/pit2014728.
[32] M. Korus, J. N. Stinson, R. Pool, A. Williams, ve S. Kagan, “Exploring the information needs of adolescents and their parents throughout the kidney transplant continuum.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 21, sayı 1, ss. 53–60, Mar. 2011, doi: 10.7182/prtr.21.1.8333204r3376l631.
[33] K.-H. Chen, L.-C. Weng, ve S. Lee, “Stress and stress-related factors of patients after renal transplantation in Taiwan: a cross-sectional study.”, Journal of Clinical Nursing, c. 19, sayı 17–18, ss. 2539–2547, Eyl. 2010, doi: 10.1111/j.1365-2702.2009.03175.x.
[34] J. C. Martin ve D. S. Sachse, “Spirituality characteristics of women following renal transplantation.”, Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, c. 29, sayı 6, ss. 577–581, Ara. 2002.
[35] J. A. Balch vd., “Machine learning applications in solid organ transplantation and related complications”, Frontiers in Immunology, c. 12, sayı September, ss. 1–8, 2021, doi: 10.3389/fimmu.2021.739728.
[36] E. Gündüz ve N. Akyolcu, “Böbrek nakli yapılan hastaların psikososyal deneyimleri: Nitel bir araştırma”, Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, c. 12, sayı Suppl 1, ss. 204–218, 2020, doi: 10.18863/pgy.774117.
[37] S. Gentile vd., “Factors associated with health-related quality of life in renal transplant recipients: Results of a national survey in France”, Health and Quality of Life Outcomes, c. 11, sayı 1, ss. 1–12, 2013, doi: 10.1186/1477-7525-11-88.
[38] A. Seiler, R. Klaghofer, M. Ture, K. Komossa, C. Martin-Soelch, ve J. Jenewein, “A systematic review of health-related quality of life and psychological outcomes after lung transplantation”, Journal of Heart and Lung Transplantation, c. 35, sayı 2, ss. 195–202, 2016, doi: 10.1016/j.healun.2015.07.003.
[39] Y. Yagil, S. Geller, S. Levy, Y. Sidi, ve S. Aharoni, “Body-image, quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample”, Psychology, Health and Medicine, c. 23, sayı 4, ss. 424–433, 2018, doi: 10.1080/13548506.2017.1400668.
[40] J. Xie vd., “Sleep quality and related psychosocial variables among renal transplant patients.”, Transplantation proceedings, c. 50, sayı 10, ss. 3426–3433, Ara. 2018, doi: 10.1016/j.transproceed.2018.06.030.
[41] J. K. Low, K. Crawford, E. Manias, ve A. Williams, “Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study.”, Journal of Clinical Nursing, c. 26, sayı 11–12, ss. 1495–1507, Haz. 2017, doi: 10.1111/jocn.13435.
[42] H. Pelgur, N. Atak, ve K. Kose, “Anxiety and depression levels of patients undergoing liver transplantation and their need for training.”, Transplantation proceedings, c. 41, sayı 5, ss. 1743–1748, Haz. 2009, doi: 10.1016/j.transproceed.2008.11.012.
[43] A. Zarifian, “Symptom occurrence, symptom distress, and quality of life in renal transplant recipients.”, Nephrology nursing journal : journal of the American Nephrology Nurses’ Association, c. 33, sayı 6, ss. 609–18; quiz 619, 2006.
[44] M. Lundmark, A. Lennerling, M. Almgren, ve A. Forsberg, “Recovery after lung transplantation from a patient perspective - proposing a new framework.”, Journal of Advanced Nursing, c. 72, sayı 12, ss. 3113–3124, Ara. 2016, doi: 10.1111/jan.13058.
[45] H. Burkhalter vd., “Self-reported sleep disturbances in renal transplant recipients”, BMC Nephrology, c. 14, sayı 1, s. 220, 2013, doi: 10.1186/1471-2369-14-220.
[46] A. Forsberg, L.-O. Persson, M. Nilsson, ve A. Lennerling, “The organ transplant symptom and well-being instrument - psychometric evaluation.”, The Open Nursing Journal, c. 6, ss. 30–40, 2012, doi: 10.2174/1874434601206010030.
[47] D. Ayar, A. Bulut, F. Karasu, ve A. Bulut, “Organ naklinde alıcı ve vericinin kolektivist başa çıkma stilleri ile damgalanma düzeyleri arasındaki ilişki”, Sağlık Akademisyenleri Dergisi, c. 9, sayı 1, ss. 82–90, 2022, doi: 10.52880/sagakaderg.1019236.
[48] M. Hecking, A. Sharif, K. Eller, ve T. Jenssen, “Management of post-transplant diabetes: immunosuppression, early prevention, and novel antidiabetics”, Transplant International, c. 34, sayı 1, ss. 27–48, 2021, doi: 10.1111/tri.13783.
[49] M. Kung, H. E. Koschwanez, L. Painter, V. Honeyman, ve E. Broadbent, “Immunosuppressant nonadherence in heart, liver, and lung transplant patients: Associations with medication beliefs and illness perceptions”, Transplantation, c. 93, sayı 9, ss. 958–963, 2012, doi: 10.1097/TP.0b013e31824b822d.
[50] G. F. Van Ek vd., “The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon”, Progress in Transplantation, c. 27, sayı 4, ss. 354–359, 2017, doi: 10.1177/1526924817731885.
[51] I. A. Rahman, N. Rasyid, P. Birowo, ve W. Atmoko, “Effects of renal transplantation on erectile dysfunction: a systematic review and meta-analysis”, International Journal of Impotence Research, c. 34, sayı 5, ss. 456–466, 2022, doi: 10.1038/s41443-021-00419-6.
[52] P. Mousapour, J. Ling, ve E. Zimbudzi, “Comparison of kidney transplantation outcomes between patients with and without pre-transplantation bariatric surgery: a Systematic review”, Obesity Surgery, ss. 4066–4081, 2022, doi: 10.1007/s11695-022-06308-1.
[53] G. S. Çoban, “Maslow’un İhtiyaçlar Hiyerarşisi kendini gerçekleştirme basamağında gizil yetenekler”, European Journal of Educational and Social Sciences, c. 6, sayı 1, ss. 111–118, 2021.
[54] Y. Tamura vd., “Mood status and quality of life in kidney recipients after transplantation.”, Transplantation proceedings, c. 50, sayı 8, ss. 2521–2525, Eki. 2018, doi: 10.1016/j.transproceed.2018.03.077.
[55] V. S. Grumme ve S. C. Gordon, “Social media use by transplant recipients for support and healing.”, Computers, informatics, nursing : CIN, c. 34, sayı 12, ss. 570–577, Ara. 2016, doi: 10.1097/CIN.0000000000000276.
[56] J. Blanch vd., “Psychosocial adjustment to orthotopic liver transplantation in 266 recipients.”, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, c. 10, sayı 2, ss. 228–234, Şub. 2004, doi: 10.1002/lt.20076.
[57] E. Kaba ve E. Shanley, “Identification of coping strategies used by heart transplant recipients.”, British Journal of Nursing (Mark Allen Publishing), c. 6, sayı 15, ss. 858–862, Ağu. 1997, doi: 10.12968/bjon.1997.6.15.858.
[58] F. Klewitz vd., “Information needs of patients about immunosuppressive medication in a german kidney transplant sample: prevalence and correlates”, Frontiers in Psychiatry , c. 10. 2019. [Çevrimiçi]. Erişim adresi: https://www.frontiersin.org/article/10.3389/fpsyt.2019.00444
[59] K. H. Urstad, O. Øyen, M. H. Andersen, T. Moum, ve A. K. Wahl, “The effect of an educational intervention for renal recipients: a randomized controlled trial.”, Clinical Transplantation, c. 26, sayı 3, ss. E246-53, 2012, doi: 10.1111/j.1399-0012.2012.01666.x.
[60] J. Myers ve T. A. Pellino, “Developing new ways to address learning needs of adult abdominal organ transplant recipients.”, Progress in Transplantation (Aliso Viejo, Calif.), c. 19, sayı 2, ss. 160–166, Haz. 2009.
[61] D. Soylu ve T. Ortabǎ, “Böbrek transplantasyonu sonrasi yaşam kalitesinin belirlenmesi”, Turkish Nephrology, Dialysis and Transplantation Journal, c. 26, sayı 2, ss. 215–221, 2017, doi: 10.5262/tndt.2017.1002.14.
[62] F. B. Trevizan, M. C. de O. S. Miyazaki, Y. L. W. Silva, ve C. M. W. Roque, “Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation”, Brazilian Journal of Cardiovascular Surgery, c. 32, sayı 3, ss. 162–170, 2017, doi: 10.21470/1678-9741-2017-0029.
[63] Ö. Çelik, E. Ürer, E. Cem, ve B. G. Kılıç, “The importance of psychiatric support and treatment in a child with heart transplantation (tur)”, Journal of Clinical Psychiatry, c. 22, sayı 4, ss. 487–492, 2019, doi: 10.5505/kpd.2019.98704.
[64] G. Koimtzis vd., “The role of vitamin D in kidney transplantation outcomes: A Systematic review”, Life, c. 12, sayı 10, ss. 1–13, 2022, doi: 10.3390/life12101664.
[65] H. Gülen ve A. Karaca, “Organ transplantasyonu sürecinde donör eğitimi ve hemşirelik bakımı”, Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 8, sayı 2, ss. 83–88, 2018, [Çevrimiçi]. Erişim adresi: https://dergipark.org.tr/tr/pub/duzcesbed/issue/37762/372429
[66] S. Hatipoğlu, Ö. Karayurt, Y. Sarıgöl Ordin, ve Ö. Pekin İşeri, “Türkiye’de organ nakli hemşireliğinin; dünü, bugünü ve yarını…”, Florence Nightingale Hemşirelik Dergisi, c. 25, sayı 1, s. 49, 2017, doi: 10.17672/fnhd.78804.
[67] Z. Ö. Köken, “Böbrek transplantasyonunda bakım”, Turkiye Klinikleri J. Surg. Nurs.-Special Topics, c. 4, sayı 2, ss. 149–156, 2018.
[68] N. Karabulut ve Y. Yaman, “Karaci̇ğer transplantasyonu sonrasi hastalarin yaşadiği sorunlar ve hemşi̇reli̇k gi̇ri̇şi̇mleri̇”, Balikesir Saglik Bil Derg, c. 1, ss. 37–42, 2012.
[69] D. Soylu ve A. Tuna, “Nursing care in kadavra organ transplantation processes”, Turkiye Klinikleri Journal of Internal Medicine, c. 5, sayı 2, ss. 62–69, 2020, doi: 10.5336/intermed.2019-70537.
[70] C. D. Neyhart, “Patient questions about transplantation: a resource guide.”, Nephrology nursing journal : journal of the American Nephrology Nurses’ Association, c. 36, sayı 3, ss. 279–285, 2009.
[71] B. Pazar, A. Yava, ve H. Genç, “Eşler arasi renal transplantasyonda hemşirelik bakimi: Olgu sunumu”, Gulhane Medical Journal, c. 55, sayı 2, ss. 150–155, 2013, doi: 10.5455/gulhane.39842.
[72] Z. Yaman ve M. Yılmaz, “Böbrek Nakli Sonrası Bireylerde Psikososyal Sorunlar ve Hemşirelik Yaklaşımı”, Türk Yoğun Bakım Hemşireliği Derneği, c. 18, sayı 1, ss. 8–22, 2014.
[73] N. Akyolcu, “Patient education in renal transplantation”, EDTNA-ERCA Journal, c. 28, sayı 4, ss. 176–179, 2002.
[74] M. S. Talas, “Böbrek transplantasyonu”, içinde Hemşirelik Bakım Planları Dahiliye-Cerrahi Hemşireliği ve Psikososyal Boyut, N. Akbayrak, S. İ. Erkal, G. Ançel, ve A. Akbayrak, Ed., 1.Ankara, 2007, ss. 1035–1049.
[75] C. Whittaker, V. Dunsmore, F. Murphy, C. Rolfe, ve R. Trevitt, “Long-term care and nursing management of a patient who is the recipient of a renal transplant.”, Journal of renal care, c. 38, sayı 4, ss. 233–240, Ara. 2012, doi: 10.1111/j.1755-6686.2012.00326.x.
[76] V. Lines, “Renal transplant care in the home.”, Caring : National Association for home care magazine, c. 16, sayı 6, ss. 26-28,30-32,34, Haz. 1997.
[77] R. Trevitt vd., “Pre- and post-transplant care: nursing management of the renal transplant recipient: part 2.”, Journal of renal care, c. 38, sayı 2, ss. 107–114, Haz. 2012, doi: 10.1111/j.1755-6686.2012.00302.x.

Toplam 77 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Konular	Hemşirelik
Bölüm	Derlemeler
Yazarlar	Kadir Baysoy 0000-0003-0003-8984
Proje Numarası	-
Yayımlanma Tarihi	27 Ağustos 2023
Yayımlandığı Sayı	Yıl 2023 Cilt: 4 Sayı: 2

Kaynak Göster

IEEE	K. Baysoy, “Organ Nakli Hastalarının Taburculuk Sonrası Yaşadıkları Zorluklar ve Gereksinimler”, Journal of Innovative Healthcare Practices, c. 4, sy. 2, ss. 143–155, 2023, doi: 10.58770/joinihp.1272665.

Kapak Resmi İndir

Makale Dosyaları

Tam Metin