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The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review

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Listed:
  • Fu-Chi Yang

    (College of General Education, National Chin-Yi University of Technology, Taichung 41170, Taiwan
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan)

  • Hsiao-Mei Chen

    (Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Chiu-Mieh Huang

    (Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan)

  • Pei-Lun Hsieh

    (Department of Nursing, College of Health, National Taichung University of Science and Technology, Taichung 40343, Taiwan)

  • Shoei-Shen Wang

    (Department of Surgery, National Taiwan University Hospital, Taipei 100225, Taiwan
    College of Medicine, National Taiwan University, Taipei 100233, Taiwan
    Department of Surgery, Fu Jen Catholic University Hospital, New Taipei City 24352, Taiwan
    School of Medicine, Fu Jen Catholic University College of Medicine, New Taipei City 242062, Taiwan)

  • Ching-Min Chen

    (Department of Nursing, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan)

Abstract

With recent advances in surgery and immunosuppressive drugs, organ transplantation has become a major treatment for irreversible organ failure. However, organ transplant recipients returning home after operation may face ongoing physiological, psychological, and social difficulties. To increase recipients’ quality of life, postoperative care at home is critical. Thus, the aim of this systematic literature review was to explore recipients’ difficulties and needs during postoperative care at home. Our search conformed to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and returned 23 relevant articles published from 1997–2020 in PubMed, MEDLINE, EBSCO, Cochrane, ProQuest, and CEPS, which were assessed using the Modified Jadad Scale or the 32 Consolidated Criteria for Reporting Qualitative Research (COREQ) appraisal indices and then synthesized through narration. The most common difficulties faced were psychological difficulties, followed by physiological, social, and other difficulties; the most common needs were psychological needs, followed by education and information training, social, and other needs. These results demonstrated that healthcare professionals can do more to provide patients with comprehensive care and promote successful self-management and quality of life at home. They also confirmed that collaboration between transplant teams, caregivers, and patients is necessary to optimize postoperative outcomes. We suggest that customized care may promote postoperative patients’ self-management and quality of life at home.

Suggested Citation

  • Fu-Chi Yang & Hsiao-Mei Chen & Chiu-Mieh Huang & Pei-Lun Hsieh & Shoei-Shen Wang & Ching-Min Chen, 2020. "The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5798-:d:397238
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    References listed on IDEAS

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    1. Jac Kee Low & Kimberley Crawford & Elizabeth Manias & Allison Williams, 2017. "Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1495-1507, June.
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