TY - JOUR
T1 - Challenges in posttransplantation care for kidney transplant recipients
T2 - A qualitative study highlighting gaps in psychological, social and exercise support
AU - De Beir, Jasmine
AU - De Baets, Stijn
AU - Vandecruys, Marieke
AU - Renier, Marie
AU - De Smet, Stefan
AU - Van Craenenbroeck, Amaryllis H
AU - Van Biesen, Wim
AU - Nagler, Evi V
AU - Verbeke, Francis
AU - Calders, Patrick
AU - Vanden Wyngaert, Karsten
N1 - © 2024 European Dialysis and Transplant Nurses Association/European Renal Care Association.
PY - 2024/12
Y1 - 2024/12
N2 - BACKGROUND: Kidney transplantation offers meaningful health improvements compared to dialysis, yet the quality of life and life expectancy of kidney transplant recipients still lag behind those of their healthy peers. Physical inactivity and poor physical fitness are prevalent among kidney transplant recipients, affecting overall life participation.OBJECTIVES: To explore challenges hindering life participation for kidney transplant recipients and reveal facilitators and barriers to integrating rehabilitation into their daily lives.DESIGN: An explorative study using a qualitative method.PARTICIPANTS: Fourteen purposively selected kidney transplant recipients.APPROACH: Semistructured, individual interviews were conducted posttransplantation. The following topics were covered: living with chronic kidney disease, pretransplantation challenges, posttransplantation recovery, engagement in various activities, including physical activity, and the need for supervised exercise rehabilitation programmes. Interviews were recorded and transcribed verbatim, and an inductive thematic analysis approach was used.FINDINGS: Data saturation occurred after analysing 12 interviews, revealing two main themes: the impact on life participation and the impact on physical and mental functioning. Participants expressed the need for comprehensive posttransplant care, including mental health support, family education and guidance on returning to work. Structured support in managing physical fitness, tailored to individual preferences, was also recognised as important.CONCLUSIONS: The study underscores the necessity for a biopsychosocial approach to posttransplant care that addresses the multifaceted challenges faced by kidney transplant recipients. A multidisciplinary approach, tailored support, education and individualised exercise programmes are crucial for enhancing their overall well-being and integrating rehabilitation into their daily lives, considering both physical and psychosocial aspects.
AB - BACKGROUND: Kidney transplantation offers meaningful health improvements compared to dialysis, yet the quality of life and life expectancy of kidney transplant recipients still lag behind those of their healthy peers. Physical inactivity and poor physical fitness are prevalent among kidney transplant recipients, affecting overall life participation.OBJECTIVES: To explore challenges hindering life participation for kidney transplant recipients and reveal facilitators and barriers to integrating rehabilitation into their daily lives.DESIGN: An explorative study using a qualitative method.PARTICIPANTS: Fourteen purposively selected kidney transplant recipients.APPROACH: Semistructured, individual interviews were conducted posttransplantation. The following topics were covered: living with chronic kidney disease, pretransplantation challenges, posttransplantation recovery, engagement in various activities, including physical activity, and the need for supervised exercise rehabilitation programmes. Interviews were recorded and transcribed verbatim, and an inductive thematic analysis approach was used.FINDINGS: Data saturation occurred after analysing 12 interviews, revealing two main themes: the impact on life participation and the impact on physical and mental functioning. Participants expressed the need for comprehensive posttransplant care, including mental health support, family education and guidance on returning to work. Structured support in managing physical fitness, tailored to individual preferences, was also recognised as important.CONCLUSIONS: The study underscores the necessity for a biopsychosocial approach to posttransplant care that addresses the multifaceted challenges faced by kidney transplant recipients. A multidisciplinary approach, tailored support, education and individualised exercise programmes are crucial for enhancing their overall well-being and integrating rehabilitation into their daily lives, considering both physical and psychosocial aspects.
KW - Humans
KW - Kidney Transplantation/psychology
KW - Male
KW - Qualitative Research
KW - Female
KW - Middle Aged
KW - Adult
KW - Transplant Recipients/psychology
KW - Quality of Life/psychology
KW - Exercise/psychology
KW - Aged
KW - Social Support
KW - Interviews as Topic/methods
UR - http://www.scopus.com/inward/record.url?scp=85199548286&partnerID=8YFLogxK
U2 - 10.1111/jorc.12507
DO - 10.1111/jorc.12507
M3 - Article
C2 - 39049568
SN - 1755-6678
VL - 50
SP - 445
EP - 453
JO - Journal of renal care
JF - Journal of renal care
IS - 4
ER -