The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review

Fu-Chi Yang, Hsiao-Mei Chen, Chiu-Mieh Huang, Pei-Lun Hsieh, Shoei-Shen Wang and Ching-Min Chen
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Fu-Chi Yang: College of General Education, National Chin-Yi University of Technology, Taichung 41170, Taiwan
Hsiao-Mei Chen: Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan
Chiu-Mieh Huang: Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan
Pei-Lun Hsieh: Department of Nursing, College of Health, National Taichung University of Science and Technology, Taichung 40343, Taiwan
Shoei-Shen Wang: Department of Surgery, National Taiwan University Hospital, Taipei 100225, Taiwan
Ching-Min Chen: Department of Nursing, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan

IJERPH, 2020, vol. 17, issue 16, 1-13

Abstract: With recent advances in surgery and immunosuppressive drugs, organ transplantation has become a major treatment for irreversible organ failure. However, organ transplant recipients returning home after operation may face ongoing physiological, psychological, and social difficulties. To increase recipients’ quality of life, postoperative care at home is critical. Thus, the aim of this systematic literature review was to explore recipients’ difficulties and needs during postoperative care at home. Our search conformed to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and returned 23 relevant articles published from 1997–2020 in PubMed, MEDLINE, EBSCO, Cochrane, ProQuest, and CEPS, which were assessed using the Modified Jadad Scale or the 32 Consolidated Criteria for Reporting Qualitative Research (COREQ) appraisal indices and then synthesized through narration. The most common difficulties faced were psychological difficulties, followed by physiological, social, and other difficulties; the most common needs were psychological needs, followed by education and information training, social, and other needs. These results demonstrated that healthcare professionals can do more to provide patients with comprehensive care and promote successful self-management and quality of life at home. They also confirmed that collaboration between transplant teams, caregivers, and patients is necessary to optimize postoperative outcomes. We suggest that customized care may promote postoperative patients’ self-management and quality of life at home.

Keywords: transplantation; postoperative care; difficulties; needs; nursing; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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