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

MeSH Terms

Compliance
Drainage
Education*
Education, Nursing
Emergencies
Humans
Liver Transplantation
Liver*
Methods
Nurse Clinicians
Nutritionists
Outpatients
Pamphlets
Pharmacists
Self Care
Social Work
Social Workers
Wounds and Injuries

Reference

1. Yilmaz TU. Importance of education in organ donation. Exp Clin Transplant. 2011; 9:370–375.
2. Korea Network for Organ Sharing (KONOS). Statistical yearbook [Internet]. Seoul: KONOS;c2014. cited 2017 Feb 24. Available from: https://www.konos.go.kr/konosis/index.jsp.
3. Ko DM. Liver transplant recipients' information according to the time elapsed since liver transplant [master's thesis]. Seoul, KR: Seoul National University;2012.
4. Bae HO, Suh SR. Effect of structured information provided on knowledge and self care behavior of liver cirrhosis patients. J Korean Acad Adult Nurs. 2001; 13:476–485.
5. Sim MK, Son SY. The effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. J East West Nurs Res. 2012; 18:9–17.
6. Urstad KH, Oyen O, Andersen MH, Moum T, Wahl AK. The effect of an educational intervention for renal recipients: a randomized controlled trial. Clin Transplant. 2012; 26:E246–E253.
Article
7. Jeong HC. The effect of in-patient guide movie and booklet programs on understanding of hospital life and satisfaction with the programs. J Korean Acad Nurs Adm. 2008; 14:45–50.
8. Shepperd S, McClaran J, Phillips CO, Lannin NA, Clemson LM, McCluskey A, et al. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2010; (1):CD000313.
Article
9. Lee JE. Study of discharge education about the liver transplantation patients : the learning need & patients's comprehension [master's thesis]. Seoul, KR: Ewha Womans University;2004.
10. Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006; 29:489–497.
Article
11. Coey L. Readability of printed educational materials used to inform potential and actual ostomates. J Clin Nurs. 1996; 5:359–366.
Article
12. Jung YY. The development of a internet-based computer assisted instruction program and analysis of its educational effects on patients with coronary artery disease [dissertation]. Seoul, KR: Seoul National University;2002.
13. Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJ. Effectiveness of web-based interventions on patient empowerment: a systematic review and meta-analysis. J Med Internet Res. 2010; 12:e23.
Article
14. Kim KS, Han YJ, Lee SH. Study on the factors affecting the learning effect of web-based distance education systems. J Bus Res. 2003; 18:195–218.
15. Yoo YS, Cho OH, Park SK, Jung HS, Kim SI. Development of a Web-based hypertensive patient management system using short message service (SMS): pilot study. Clin Nurs Res. 2005; 11:57–70.
16. Kim HS. Effects of web-based diabetic education in obese diabetic patients. J Korean Acad Nurs. 2005; 35:924–930.
Article
17. Lee NY, Kim YH. Development and evaluation of an e-learning program for mothers of premature infants. J Korean Acad Nurs. 2008; 38:152–160.
Article
18. Oh JA, Kim HS, Park MJ, Shim HS. Effects of web-based health education on blood glucose and blood pressure improvement in postmenopausal women with impaired fasting blood glucose. J Korean Acad Nurs. 2011; 41:724–731.
Article
19. Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondary stroke. J Korean Acad Nurs. 2011; 41:47–60.
Article
20. Wang HJ, Kim IO. Effects of a mobile web-based pregnancy health care educational program for mothers at an advanced maternal age. J Korean Acad Nurs. 2015; 45:337–346.
Article
21. Lee HJ. Effect of individual health education the medical clinic of public health centers on knowledge, self-efficacy, and self-care behavior in clients with hypertension. J Korean Public Health Nurs. 2004; 18:80–89.
22. Heo J, Kim S, Kim JH, Huh S. Effect of patient's satisfaction with pharmacist's medication counseling on medication compliance among outpatients. Korean J Clin Pharm. 2009; 19:110–119.
Full Text Links
  • JKSTN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr