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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

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Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
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Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

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Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
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Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

101
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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The Kidney Transplant Self-Management Scale: Instrument Development and Psychometric Testing.

Shu-Yu Chung1, Tamilyn Bakas2, Susan M Rawl1

  • 1School of Nursing, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.

Western Journal of Nursing Research
|February 12, 2022
PubMed
Summary

A new Kidney Transplant Self-Management Scale (KT-SMS) was developed and validated. This 16-item scale effectively measures self-management in kidney transplant recipients across five key domains.

Keywords:
clinical focushealth-related quality of lifeinstrument developmentkidney transplantmethodspsychometric propertiesrenal-urinaryself-efficacyself-management

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Area of Science:

  • Nephrology
  • Transplantation Science
  • Health Psychology

Background:

  • Effective self-management is crucial for kidney transplant recipients to optimize long-term outcomes.
  • Existing instruments may not fully capture the multifaceted nature of self-management in this population.
  • Developing a validated scale is essential for research and clinical practice.

Purpose of the Study:

  • To develop and psychometrically test the Kidney Transplant Self-Management Scale (KT-SMS).
  • To assess the validity and reliability of the KT-SMS in a sample of kidney transplant recipients.

Main Methods:

  • Instrument development involved conceptualization, item generation, and validity assessments (face, content).
  • Psychometric testing included construct validity, internal consistency reliability, and convergent validity.
  • Factor analysis identified five domains: medication adherence, cardiovascular risk reduction, protecting kidney, ownership, and skin cancer prevention.
  • A cross-sectional sample of 153 kidney transplant recipients was utilized.

Main Results:

  • Factor analysis supported a 16-item, five-domain KT-SMS.
  • Adequate internal consistency reliability was found for the total scale and subscales.
  • Convergent validity was supported by significant correlations between the KT-SMS and its subscales.
  • The KT-SMS scores significantly correlated with self-efficacy, patient activation, and health-related quality of life.

Conclusions:

  • The 16-item KT-SMS is a multidimensional and psychometrically sound instrument for assessing self-management in kidney transplant recipients.
  • The scale demonstrates adequate reliability and validity, supporting its use in research and clinical settings.
  • The KT-SMS has potential to enhance understanding and improvement of self-management strategies in this patient group.