固体臓器移植後の自己管理の側面 - スコーピングレビュー
Stefan Jobst1, Christiane Kugler1, Anne Rebafka1
1Institute of Nursing Science, Faculty of Medicine, University of Freiburg, Breisacher Str. 153, 79110 Freiburg, Germany.
Nursing reports (Pavia, Italy)
|August 27, 2025
まとめ
固体臓器移植を受けた人は 医療,感情,社会的側面を含む生涯の自己管理が必要です 現在の研究は医療管理に焦点を当てており,より広範な患者中心のケア戦略の必要性を強調しています.
科学分野:
- 移植医学
- 健康心理学
- 患者の自己管理に関する研究
背景:
- 固体臓器移植は 生存率を高めますが 患者の継続的な自己管理が必要です
- 既存の自己管理モデルは,特定の移植タイプ (例えば腎臓,肝臓) に特有のもので,普遍的な枠組みがない.
- 臓器移植後のケアを最適化するには 臓器移植を受けた患者の自己管理を 徹底する必要があります
研究 の 目的:
- 固体臓器移植患者の自己管理を概念化する
- 移植の自己管理に関連する研究文脈,方法論,出版物の種類を特定する.
- 移植後の自己管理の基本的な側面を定義する.
主な方法:
- スコーピングレビューの方法論が採用された.
- 体系的な検索戦略により,関連する文献が特定されました.
- 自己管理領域をマッピングするために,定性的なコンテンツ分析とデデクティブ・インダクティブ・コーディングが使用されました.
主要な成果:
- 43年間で43カ国で発表された742件の研究が含まれており,2016年以降の出版は急増した.
- 研究は主に腎臓 (61%),肝臓 (22%),心臓 (21%) および肺 (16%) の移植に焦点を当てた.
- 4つの自己管理領域が特定されました:医療療法療法,伝記的な仕事,新しい人生の役割,一般的な自己管理スキルです.
結論:
- 移植後の自己管理は多面的で 医療・治療・感情・社会・行動要素を統合しています
- 現在の研究では 医療療法による管理が 過剰に強調されています
- 患者中心の整体的なケアのための他の自己管理の側面を調査するにはさらなる研究が必要です.
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