Impact of A nursing care guidelines on biopsychosocial adaptation of patients with renal transplantation

ABSTRACT

Recipients of living donor kidney transplantation hope for an improved physical well-being after transplant. Furthermore the patients and their relatives frequently expect an improvement in their psychological findings in consequence of the living related transplantation. Thus the aim of this study is to evaluate the impact of utilizing a modified nursing care guidelines on biopsychosocial adaptation of patients with renal transplantation, as well as on daily living activities. A convenience sample of 60 outpatient renal transplant patients were selected from the follow-up clinic at the National kidney Institute, [MOHP] in Cairo. Three tools were utilizing for data collection; Sociodemographic and medical data sheet, Pre/Post- test Questionnaire sheet, and Sickness Impact Profile Tool, and patients were exposed to the modified nursing care guidelines [NCG], then assessed three times, pre, 3, and 6 months later. The results of this study showed highly statistically significant improvement regarding the effect of immunosuppressive drugs on physical condition [p<0.001] .There was also statistically significant improvement among patients as regards physical, and psychosocial status as well as activities of daily living. The pre-post changes in knowledge scores were also statistically significant improvement in the study group p<0.00. These results imply that Implementation a transplant rehabilitation program for renal transplant patients through the collaboration of various rehabilitation transplant team