Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis

Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis Publisher Pubmed

Abtahi H¹ ; Safdari R² ; Gholamzadeh M³

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1. Pulmonary and Critical care Medicine Department, Thoracic Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
2. Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
3. Medical Informatics, Health Information Management Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Fardanesh Alley, 5th FloorQods Ave, Tehran, Iran

Source: BMC Primary Care Published:2022

Abstract

Background: In organ transplantation, all patients must follow a complex treatment regimen for the rest of their lives. Hence, patients play an active role in the continuity of the care process in the form of self-management tasks. Thus, the main objective of our study was to investigate the pragmatic solutions applied by different studies to enhance adherence to self-management behaviors. Method: A systematic review was conducted in five databases from 2010 to August 2021 using keywords. Eligible studies were all English papers that developed self-management programs to enhance patient care in solid organ transplantation. The interventions were analyzed using thematic analysis to determine the main descriptive areas. The quality of the included articles was evaluated using the research critical appraisal program (CASP) tool. Results: Of the 691 retrieved articles, 40 met our inclusion criteria. Of these, 32 studies were devoted to the post-transplantation phase. Five main areas were determined (e-health programs for telemonitoring, non-electronic educational programs, non-electronic home-based symptom-monitoring programs, electronic educational plans for self-monitoring, and Telerehabilitation) according to thematic analysis. Most studies (72.5%) declared that developed programs and applied solutions had a statistically significant positive impact on self-management behavior enhancement in transplant patients. Conclusion: The results showed that an effective solution for improving organ transplantation needs patient collaboration to address psychological, social, and clinical aspects of patient care. Such programs can be applied during candidate selection, waiting list, and after transplantation by putting the patient at the center of care. © 2022, The Author(s).

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Style	Citing Format
MLA	Abtahi H, Safdari R, Gholamzadeh M. "Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis." BMC Primary Care, vol. 23, no. 1, 2022, pp. -.
APA	Abtahi H, Safdari R, Gholamzadeh M (2022). Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis. BMC Primary Care, 23(1), -.
Chicago	Abtahi H, Safdari R, Gholamzadeh M. "Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis." BMC Primary Care 23, no. 1 (2022): -.
Harvard	Abtahi H, Safdari R, Gholamzadeh M (2022) 'Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis', BMC Primary Care, 23(1), pp. -.
Vancouver	Abtahi H, Safdari R, Gholamzadeh M. Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis. BMC Primary Care. 2022;23(1):-.
BibTex	@article{ author = {Abtahi H and Safdari R and Gholamzadeh M}, title = {Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis}, journal = {BMC Primary Care}, volume = {23}, number = {1}, pages = {-}, year = {2022} }
RIS	TY - JOUR AU - Abtahi H AU - Safdari R AU - Gholamzadeh M TI - Pragmatic Solutions to Enhance Self-Management Skills in Solid Organ Transplant Patients: Systematic Review and Thematic Analysis JO - BMC Primary Care VL - 23 IS - 1 SP - EP - PY - 2022 ER -

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