Post-Transplant Self-Management, Self-Efficacy, and Subjective Well-Being in Heart Transplant Recipients: A Cross-Sectional Study

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-05-02 DOI:10.1016/j.transproceed.2025.04.002

Jing Lai , Danying Ma , Wei Wang , Lingzi Wu , Yuan Liu

{"title":"Post-Transplant Self-Management, Self-Efficacy, and Subjective Well-Being in Heart Transplant Recipients: A Cross-Sectional Study","authors":"Jing Lai , Danying Ma , Wei Wang , Lingzi Wu , Yuan Liu","doi":"10.1016/j.transproceed.2025.04.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>To explore the current status and influencing factors of transplant recipients’ subjective well-being, self-management, and self-efficacy at home after heart transplantation (HTx).</div></div><div><h3>Method</h3><div>In this cross-sectional study, we used an online questionnaire to survey 83 HTx recipients who had been discharged from the largest HTx center in South China for more than 6 months. The time since transplantation ranged from 6 months to 14 years. Three self-assessment tools were used: the Chinese version of the Index of Wellbeing and Index of General Affect, the HTx self-management questionnaire, and the Self-Efficacy for Managing Chronic Disease 6-Item Scale.</div></div><div><h3>Results</h3><div>In this study, the well-being index ranged from 5.73 to 14.70 points, with a median of 12.60 (P25 = 10.79, P75 = 13.70). The overall subjective well-being of the HTx recipients was at a good level. Transplant recipients with a history of readmission (<em>Z</em> = 2.271, <em>P</em> = .023), unrecovered activity tolerance (<em>Z</em> = 3.532, <em>P</em> < .001), ignorance of the content of cardiac rehabilitation (<em>Z</em> = 2.703, <em>P</em> = .007), and a negative attitude toward the transplant (<em>Z</em> = 2.438, <em>P</em> = .015) and preoperative use of inotropic agents (Z = 1.999, <em>P</em> = .046) had lower levels of well-being. Subjective well-being is positively related to self-management and self-efficacy, where the stronger the self-management, the higher the level of well-being and self-efficacy.</div></div><div><h3>Conclusions</h3><div>The HTx recipients in this study had higher overall levels of self-management, self-efficacy, and well-being. However, there remain problems associated with poor treatment compliance and poor home cardiac rehabilitation effectiveness. Transplant recipients whose activity tolerance has returned to pre-transplant levels have higher levels of self-management, suggesting that the transplant team should take measures to improve the treatment compliance of HTx recipients, as well as to provide home cardiac rehabilitation guidance to maximize the recovery of activity tolerance and improve the well-being of transplant recipients.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 5","pages":"Pages 841-848"},"PeriodicalIF":0.8000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transplantation proceedings","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0041134525002143","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"IMMUNOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To explore the current status and influencing factors of transplant recipients’ subjective well-being, self-management, and self-efficacy at home after heart transplantation (HTx).

Method

In this cross-sectional study, we used an online questionnaire to survey 83 HTx recipients who had been discharged from the largest HTx center in South China for more than 6 months. The time since transplantation ranged from 6 months to 14 years. Three self-assessment tools were used: the Chinese version of the Index of Wellbeing and Index of General Affect, the HTx self-management questionnaire, and the Self-Efficacy for Managing Chronic Disease 6-Item Scale.

Results

In this study, the well-being index ranged from 5.73 to 14.70 points, with a median of 12.60 (P25 = 10.79, P75 = 13.70). The overall subjective well-being of the HTx recipients was at a good level. Transplant recipients with a history of readmission (Z = 2.271, P = .023), unrecovered activity tolerance (Z = 3.532, P < .001), ignorance of the content of cardiac rehabilitation (Z = 2.703, P = .007), and a negative attitude toward the transplant (Z = 2.438, P = .015) and preoperative use of inotropic agents (Z = 1.999, P = .046) had lower levels of well-being. Subjective well-being is positively related to self-management and self-efficacy, where the stronger the self-management, the higher the level of well-being and self-efficacy.

Conclusions

The HTx recipients in this study had higher overall levels of self-management, self-efficacy, and well-being. However, there remain problems associated with poor treatment compliance and poor home cardiac rehabilitation effectiveness. Transplant recipients whose activity tolerance has returned to pre-transplant levels have higher levels of self-management, suggesting that the transplant team should take measures to improve the treatment compliance of HTx recipients, as well as to provide home cardiac rehabilitation guidance to maximize the recovery of activity tolerance and improve the well-being of transplant recipients.

查看原文本刊更多论文

心脏移植受者移植后自我管理、自我效能和主观幸福感：一项横断面研究。

目的：探讨心脏移植术后受者主观幸福感、自我管理和家庭自我效能感的现状及影响因素。方法：采用横断面研究方法，对83名从华南地区最大的HTx治疗中心出院6个月以上的HTx患者进行在线问卷调查。移植后的时间从6个月到14年不等。采用三种自我评估工具：中文版幸福指数和一般情感指数、HTx自我管理问卷和慢性疾病管理自我效能6项量表。结果：本研究幸福感指数范围为5.73 ~ 14.70分，中位数为12.60分（P25 = 10.79, P75 = 13.70）。HTx受助人的整体主观幸福感处于良好水平。再入院史（Z = 2.271, P = 0.023）、未恢复活动耐量（Z = 3.532, P < 0.001）、不了解心脏康复内容（Z = 2.703, P = 0.007）、对移植持消极态度（Z = 2.438, P = 0.015）和术前使用肌力药物（Z = 1.999, P = 0.046）的移植受者幸福感水平较低。主观幸福感与自我管理和自我效能感呈正相关，其中自我管理越强，幸福感和自我效能感水平越高。结论：本研究中HTx接受者的整体自我管理、自我效能和幸福感水平较高。然而，仍然存在治疗依从性差和家庭心脏康复效果差的问题。活动耐受性恢复到移植前水平的移植受者自我管理水平较高，提示移植团队应采取措施提高HTx受者的治疗依从性，并提供家庭心脏康复指导，最大限度地恢复活动耐受性，提高移植受者的幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.