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Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis

BACKGROUND: In organ transplantation, all patients must follow a complex treatment regimen for the rest of their lives. Hence, patients play an active role in the continuity of the care process in the form of self-management tasks. Thus, the main objective of our study was to investigate the pragmat...

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Autores principales: Abtahi, Hamidreza, Safdari, Reza, Gholamzadeh, Marsa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247970/
https://www.ncbi.nlm.nih.gov/pubmed/35773642
http://dx.doi.org/10.1186/s12875-022-01766-z
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author Abtahi, Hamidreza
Safdari, Reza
Gholamzadeh, Marsa
author_facet Abtahi, Hamidreza
Safdari, Reza
Gholamzadeh, Marsa
author_sort Abtahi, Hamidreza
collection PubMed
description BACKGROUND: In organ transplantation, all patients must follow a complex treatment regimen for the rest of their lives. Hence, patients play an active role in the continuity of the care process in the form of self-management tasks. Thus, the main objective of our study was to investigate the pragmatic solutions applied by different studies to enhance adherence to self-management behaviors. METHOD: A systematic review was conducted in five databases from 2010 to August 2021 using keywords. Eligible studies were all English papers that developed self-management programs to enhance patient care in solid organ transplantation. The interventions were analyzed using thematic analysis to determine the main descriptive areas. The quality of the included articles was evaluated using the research critical appraisal program (CASP) tool. RESULTS: Of the 691 retrieved articles, 40 met our inclusion criteria. Of these, 32 studies were devoted to the post-transplantation phase. Five main areas were determined (e-health programs for telemonitoring, non-electronic educational programs, non-electronic home-based symptom-monitoring programs, electronic educational plans for self-monitoring, and Telerehabilitation) according to thematic analysis. Most studies (72.5%) declared that developed programs and applied solutions had a statistically significant positive impact on self-management behavior enhancement in transplant patients. CONCLUSION: The results showed that an effective solution for improving organ transplantation needs patient collaboration to address psychological, social, and clinical aspects of patient care. Such programs can be applied during candidate selection, waiting list, and after transplantation by putting the patient at the center of care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-022-01766-z.
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spelling pubmed-92479702022-07-01 Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis Abtahi, Hamidreza Safdari, Reza Gholamzadeh, Marsa BMC Prim Care Research BACKGROUND: In organ transplantation, all patients must follow a complex treatment regimen for the rest of their lives. Hence, patients play an active role in the continuity of the care process in the form of self-management tasks. Thus, the main objective of our study was to investigate the pragmatic solutions applied by different studies to enhance adherence to self-management behaviors. METHOD: A systematic review was conducted in five databases from 2010 to August 2021 using keywords. Eligible studies were all English papers that developed self-management programs to enhance patient care in solid organ transplantation. The interventions were analyzed using thematic analysis to determine the main descriptive areas. The quality of the included articles was evaluated using the research critical appraisal program (CASP) tool. RESULTS: Of the 691 retrieved articles, 40 met our inclusion criteria. Of these, 32 studies were devoted to the post-transplantation phase. Five main areas were determined (e-health programs for telemonitoring, non-electronic educational programs, non-electronic home-based symptom-monitoring programs, electronic educational plans for self-monitoring, and Telerehabilitation) according to thematic analysis. Most studies (72.5%) declared that developed programs and applied solutions had a statistically significant positive impact on self-management behavior enhancement in transplant patients. CONCLUSION: The results showed that an effective solution for improving organ transplantation needs patient collaboration to address psychological, social, and clinical aspects of patient care. Such programs can be applied during candidate selection, waiting list, and after transplantation by putting the patient at the center of care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-022-01766-z. BioMed Central 2022-06-30 /pmc/articles/PMC9247970/ /pubmed/35773642 http://dx.doi.org/10.1186/s12875-022-01766-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Abtahi, Hamidreza
Safdari, Reza
Gholamzadeh, Marsa
Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title_full Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title_fullStr Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title_full_unstemmed Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title_short Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
title_sort pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247970/
https://www.ncbi.nlm.nih.gov/pubmed/35773642
http://dx.doi.org/10.1186/s12875-022-01766-z
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