KMID : 0361120220360010037
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Korean Journal of Transplantation 2022 Volume.36 No. 1 p.37 ~ p.44
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Factors influencing the self-management of kidney transplant patients based on self-determination theory: a cross-sectional study
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Sim Mi-Kyung
Son Sun-Young Ju Man-Ki
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Abstract
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Background: Self-determination theory is useful for explaining how kidney transplant recipients self-manage their postoperative health, including drug regimens, but few studies have applied this theory to transplant recipients. This study aimed to examine the influence of health professionals¡¯ autonomy support, autonomous motivation and competence on kidney transplant patients¡¯ self-management based on the self-determination theory.
Methods: This study included 79 kidney transplant patients from one outpatient clinic in a general hospital in Seoul, Korea. Data on the health professionals¡¯ support of patient autonomy and the kidney transplant patients¡¯ autonomous motivation, competence, and self-management were collected from self-report questionnaires.
Results: The factors that influenced self-management behavior in kidney transplant patients were competence (¥â=0.377, P=0.001) and autonomous motivation (¥â=0.293, P=0.006). The explanatory power of these variables was 30.1%.
Conclusions: This study found that autonomous motivation and competence in kidney transplant patients affected their self-management, indicating that if healthcare professionals enhance patients¡¯ competence and autonomous motivation, their self-management can be improved. The development of intervention programs that assist healthcare professionals in strengthening patients¡¯ autonomous motivation and competence is recommended.
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KEYWORD
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Self-management, Kidney transplantation, Self-determination
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