J Korean Soc Transplant.  2017 Mar;31(1):34-42. 10.4285/jkstn.2017.31.1.34.

Development of Pre-discharge Group Education Program for Liver Transplant Patients

Affiliations
  • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2Department of Nursing, Sungshin Women's University College of Nursing, Seoul, Korea. kclim@sungshin.ac.kr
  • 3Department of Nursing, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Organ Transplantation Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 5Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
This study was conducted to develop a pre-discharge group education program for liver transplant patients, and to contribute to improving the knowledge and performance of self-management after discharge.
METHODS
This investigation was a methodological study consisting of analysis, design, development, operation, and evaluation stages.
RESULTS
The constituent items of the pre-discharge group education program for liver transplant patients include medication management, infection management, emergency management, outpatient management, complication management, nutrition management, exercise management, wound and drainage management, disability registration, and sex life. The pre-discharge group education program for liver transplant patients was conducted once a week, 30 minutes for the coordinator, 40 minutes for the clinical nurse specialist (including 10 minutes for wound and drainage management), 30 minutes for pharmacists, 20 minutes for the nutritionist, and 20 minutes for social workers. Additionally, the contents of the lecture announced by PowerPoint were made the same as the booklet. The overall knowledge level before and 3 months after the pre-discharge group education program for liver transplantation patients increased significantly from 17.32±1.53 to 19.74±0.89. At the 3-month time point, the overall compliance was 77.39±3.04 out of 80. Overall satisfaction was 9.32±0.93 on a scale of 10. Finally, the need for medication was the highest at 3 months.
CONCLUSIONS
It is expected that this program can be utilized in the clinical field as an effective nursing education intervention.

Keyword

Liver transplantation; Education; Knowledge; Compliance
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