Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study
Aim and objective To understand the stressors related to life post kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors. Background Although kidney transplantation offers enhanced quality and years of life for patients, the ma...
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| Veröffentlicht in: | Journal of clinical nursing 2017-06, Vol.26 (11-12), p.1495-1507 |
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| container_title | Journal of clinical nursing |
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| creator | Low, Jac Kee Crawford, Kimberley Manias, Elizabeth Williams, Allison |
| description | Aim and objective
To understand the stressors related to life post kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors.
Background
Although kidney transplantation offers enhanced quality and years of life for patients, the management of a kidney transplant post surgery is a complex process.
Design
A descriptive exploratory study.
Method
Participants were recruited from five kidney transplant units in Victoria, Australia. From March–May 2014, patients who had either maintained their kidney transplant for ≥8 months or had experienced a kidney graft loss due to medication nonadherence were interviewed. All audio‐recordings of interviews were transcribed verbatim and underwent Ritchie and Spencer's framework analysis.
Results
Participants consisted of 15 men and 10 women aged 26–72 years old. All identified themes were categorised into: (1) Causes of distress and (2) Coping resources. Post kidney transplantation, causes of distress included the regimented routine necessary for graft maintenance, and the everlasting fear of potential graft rejection, contracting infections and developing cancer. Coping resources used to manage the stressors were first, a shift in perspective about how easy it was to manage a kidney transplant than to be dialysis‐dependent and second, receiving external help from fellow patients, family members and health care professionals in addition to using electronic reminders.
Conclusion
An individual well‐equipped with coping resources is able to deal with stressors better. It is recommended that changes, such as providing regular reminders about the lifestyle benefits of kidney transplantation, creating opportunities for patients to share their experiences and promoting the usage of a reminder alarm to take medications, will reduce the stress of managing a kidney transplant.
Relevance to clinical practice
Using these findings to make informed changes to the usual care of a kidney transplant recipient is likely to result in better patient outcomes. |
| doi_str_mv | 10.1111/jocn.13435 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826704304</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826704304</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4595-c41ab578f82005b0ae7c047749001e14f2419f1b4e6f042b2a7840b7c10ef78e3</originalsourceid><addsrcrecordid>eNp9kUtP3DAUha2qqAzTbvoDKkvdIKQBvxIn3Y1GPIoQLNquI8e5qTxk7GA7oBF_ngtDu2CBZfnaV5-OfM8h5CtnxxzXyTpYf8ylksUHMuOyLBZCM_GRzFhdigVnpd4nBymtGeNSCPmJ7AsthRS1nJHHXzlCSiEmanxHbRid_0uxFaZoIdHQ0-WUcjSDM57eus7DluLTp3EwPiNp3ejA54TXwWToaA50A52zJrvgaTa3qPiDGno3oUjG7j3QlKdu-5ns9WZI8OW1zsmfs9Pfq4vF1c35z9XyamFVURd4ctMWuuorwVjRMgPaMqW1qnEg4KoXitc9bxWUPVOiFUZXirXacga9rkDOyeFOd4zhboKUm41LFgYcAMKUGl6JUjMlcc_J9zfoGo3w-Duk0M2a1VogdbSjbAwpReibMbqNiduGs-Y5kuY5kuYlEoS_vUpOLfryH_2XAQJ8Bzy4AbbvSDWXN6vrnegTQzKXoA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1896290972</pqid></control><display><type>article</type><title>Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Low, Jac Kee ; Crawford, Kimberley ; Manias, Elizabeth ; Williams, Allison</creator><creatorcontrib>Low, Jac Kee ; Crawford, Kimberley ; Manias, Elizabeth ; Williams, Allison</creatorcontrib><description>Aim and objective
To understand the stressors related to life post kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors.
Background
Although kidney transplantation offers enhanced quality and years of life for patients, the management of a kidney transplant post surgery is a complex process.
Design
A descriptive exploratory study.
Method
Participants were recruited from five kidney transplant units in Victoria, Australia. From March–May 2014, patients who had either maintained their kidney transplant for ≥8 months or had experienced a kidney graft loss due to medication nonadherence were interviewed. All audio‐recordings of interviews were transcribed verbatim and underwent Ritchie and Spencer's framework analysis.
Results
Participants consisted of 15 men and 10 women aged 26–72 years old. All identified themes were categorised into: (1) Causes of distress and (2) Coping resources. Post kidney transplantation, causes of distress included the regimented routine necessary for graft maintenance, and the everlasting fear of potential graft rejection, contracting infections and developing cancer. Coping resources used to manage the stressors were first, a shift in perspective about how easy it was to manage a kidney transplant than to be dialysis‐dependent and second, receiving external help from fellow patients, family members and health care professionals in addition to using electronic reminders.
Conclusion
An individual well‐equipped with coping resources is able to deal with stressors better. It is recommended that changes, such as providing regular reminders about the lifestyle benefits of kidney transplantation, creating opportunities for patients to share their experiences and promoting the usage of a reminder alarm to take medications, will reduce the stress of managing a kidney transplant.
Relevance to clinical practice
Using these findings to make informed changes to the usual care of a kidney transplant recipient is likely to result in better patient outcomes.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.13435</identifier><identifier>PMID: 27323293</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Disease management ; Drug administration ; Female ; Health behavior ; Humans ; Interviews as Topic ; Kidney diseases ; kidney transplantation ; Kidney Transplantation - psychology ; Kidney transplants ; Male ; Medication Adherence ; Middle Aged ; Nursing ; Patient compliance ; Patients ; psychological, psychological adaptation ; Qualitative Research ; Stress ; Stress, Psychological ; Transplants & implants ; Victoria</subject><ispartof>Journal of clinical nursing, 2017-06, Vol.26 (11-12), p.1495-1507</ispartof><rights>2016 John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4595-c41ab578f82005b0ae7c047749001e14f2419f1b4e6f042b2a7840b7c10ef78e3</citedby><cites>FETCH-LOGICAL-c4595-c41ab578f82005b0ae7c047749001e14f2419f1b4e6f042b2a7840b7c10ef78e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.13435$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.13435$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27323293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Low, Jac Kee</creatorcontrib><creatorcontrib>Crawford, Kimberley</creatorcontrib><creatorcontrib>Manias, Elizabeth</creatorcontrib><creatorcontrib>Williams, Allison</creatorcontrib><title>Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim and objective
To understand the stressors related to life post kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors.
Background
Although kidney transplantation offers enhanced quality and years of life for patients, the management of a kidney transplant post surgery is a complex process.
Design
A descriptive exploratory study.
Method
Participants were recruited from five kidney transplant units in Victoria, Australia. From March–May 2014, patients who had either maintained their kidney transplant for ≥8 months or had experienced a kidney graft loss due to medication nonadherence were interviewed. All audio‐recordings of interviews were transcribed verbatim and underwent Ritchie and Spencer's framework analysis.
Results
Participants consisted of 15 men and 10 women aged 26–72 years old. All identified themes were categorised into: (1) Causes of distress and (2) Coping resources. Post kidney transplantation, causes of distress included the regimented routine necessary for graft maintenance, and the everlasting fear of potential graft rejection, contracting infections and developing cancer. Coping resources used to manage the stressors were first, a shift in perspective about how easy it was to manage a kidney transplant than to be dialysis‐dependent and second, receiving external help from fellow patients, family members and health care professionals in addition to using electronic reminders.
Conclusion
An individual well‐equipped with coping resources is able to deal with stressors better. It is recommended that changes, such as providing regular reminders about the lifestyle benefits of kidney transplantation, creating opportunities for patients to share their experiences and promoting the usage of a reminder alarm to take medications, will reduce the stress of managing a kidney transplant.
Relevance to clinical practice
Using these findings to make informed changes to the usual care of a kidney transplant recipient is likely to result in better patient outcomes.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Disease management</subject><subject>Drug administration</subject><subject>Female</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Kidney diseases</subject><subject>kidney transplantation</subject><subject>Kidney Transplantation - psychology</subject><subject>Kidney transplants</subject><subject>Male</subject><subject>Medication Adherence</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>psychological, psychological adaptation</subject><subject>Qualitative Research</subject><subject>Stress</subject><subject>Stress, Psychological</subject><subject>Transplants & implants</subject><subject>Victoria</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtP3DAUha2qqAzTbvoDKkvdIKQBvxIn3Y1GPIoQLNquI8e5qTxk7GA7oBF_ngtDu2CBZfnaV5-OfM8h5CtnxxzXyTpYf8ylksUHMuOyLBZCM_GRzFhdigVnpd4nBymtGeNSCPmJ7AsthRS1nJHHXzlCSiEmanxHbRid_0uxFaZoIdHQ0-WUcjSDM57eus7DluLTp3EwPiNp3ejA54TXwWToaA50A52zJrvgaTa3qPiDGno3oUjG7j3QlKdu-5ns9WZI8OW1zsmfs9Pfq4vF1c35z9XyamFVURd4ctMWuuorwVjRMgPaMqW1qnEg4KoXitc9bxWUPVOiFUZXirXacga9rkDOyeFOd4zhboKUm41LFgYcAMKUGl6JUjMlcc_J9zfoGo3w-Duk0M2a1VogdbSjbAwpReibMbqNiduGs-Y5kuY5kuYlEoS_vUpOLfryH_2XAQJ8Bzy4AbbvSDWXN6vrnegTQzKXoA</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Low, Jac Kee</creator><creator>Crawford, Kimberley</creator><creator>Manias, Elizabeth</creator><creator>Williams, Allison</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study</title><author>Low, Jac Kee ; Crawford, Kimberley ; Manias, Elizabeth ; Williams, Allison</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-c41ab578f82005b0ae7c047749001e14f2419f1b4e6f042b2a7840b7c10ef78e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Disease management</topic><topic>Drug administration</topic><topic>Female</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Kidney diseases</topic><topic>kidney transplantation</topic><topic>Kidney Transplantation - psychology</topic><topic>Kidney transplants</topic><topic>Male</topic><topic>Medication Adherence</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>psychological, psychological adaptation</topic><topic>Qualitative Research</topic><topic>Stress</topic><topic>Stress, Psychological</topic><topic>Transplants & implants</topic><topic>Victoria</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Low, Jac Kee</creatorcontrib><creatorcontrib>Crawford, Kimberley</creatorcontrib><creatorcontrib>Manias, Elizabeth</creatorcontrib><creatorcontrib>Williams, Allison</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Low, Jac Kee</au><au>Crawford, Kimberley</au><au>Manias, Elizabeth</au><au>Williams, Allison</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2017-06</date><risdate>2017</risdate><volume>26</volume><issue>11-12</issue><spage>1495</spage><epage>1507</epage><pages>1495-1507</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aim and objective
To understand the stressors related to life post kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors.
Background
Although kidney transplantation offers enhanced quality and years of life for patients, the management of a kidney transplant post surgery is a complex process.
Design
A descriptive exploratory study.
Method
Participants were recruited from five kidney transplant units in Victoria, Australia. From March–May 2014, patients who had either maintained their kidney transplant for ≥8 months or had experienced a kidney graft loss due to medication nonadherence were interviewed. All audio‐recordings of interviews were transcribed verbatim and underwent Ritchie and Spencer's framework analysis.
Results
Participants consisted of 15 men and 10 women aged 26–72 years old. All identified themes were categorised into: (1) Causes of distress and (2) Coping resources. Post kidney transplantation, causes of distress included the regimented routine necessary for graft maintenance, and the everlasting fear of potential graft rejection, contracting infections and developing cancer. Coping resources used to manage the stressors were first, a shift in perspective about how easy it was to manage a kidney transplant than to be dialysis‐dependent and second, receiving external help from fellow patients, family members and health care professionals in addition to using electronic reminders.
Conclusion
An individual well‐equipped with coping resources is able to deal with stressors better. It is recommended that changes, such as providing regular reminders about the lifestyle benefits of kidney transplantation, creating opportunities for patients to share their experiences and promoting the usage of a reminder alarm to take medications, will reduce the stress of managing a kidney transplant.
Relevance to clinical practice
Using these findings to make informed changes to the usual care of a kidney transplant recipient is likely to result in better patient outcomes.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27323293</pmid><doi>10.1111/jocn.13435</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of clinical nursing, 2017-06, Vol.26 (11-12), p.1495-1507 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adaptation, Psychological Adult Aged Disease management Drug administration Female Health behavior Humans Interviews as Topic Kidney diseases kidney transplantation Kidney Transplantation - psychology Kidney transplants Male Medication Adherence Middle Aged Nursing Patient compliance Patients psychological, psychological adaptation Qualitative Research Stress Stress, Psychological Transplants & implants Victoria |
| title | Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study |
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