[Nursing needs of renal transplanted adolescents, a descriptive cross sectional study in a Swiss hospital].
Various studies have demonstrated that the five-year graft survival of adolescents after renal transplantation is significantly lower than in children. This may be due to poor adherence to the post-transplant regime in adolescents. It has been shown that nurses can provide support to renal transplanted adolescents with positive effects on their adherence. The aim of this descriptive cross-sectional study was to gain knowledge about important topics of nurses' support to adolescent renal transplant patients. Twenty-seven adolescents between the ages of 12 and 18 years were interviewed and given a questionnaire based on a focus group discussion. Each of the provided 43 topics was rated on its importance. Results showed that responses corresponding to the judgment "very important" ranged from 20 % to 100 %. Information about illness and therapy was given highest priority, followed by the provision of support services as well as information and the support of planning and managing the personal way of living. These topics can be seen as a set of relevant variables that may be used for focused assessment, and for planning of nursing interventions. With regard to clinical practice it is necessary to develop nursing strategies and patient and family education programs based on the results of this study.
Kleinknecht
Michael
M
Universitäts-Kinderspital Zürich, Schweiz und Stiftung Mercator Schweiz, Zürich, Schweiz. michael.kleinknecht@kispi.uzh.ch
Neuhaus
Thomas J
TJ
Landolt
Markus A
MA
D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D016030:Kidney Transplantation / Q000451:nursing* / Q000523:psychology; D008297:Male; D009723:Nurse-Patient Relations; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D012944:Social Support; D011795:Surveys and Questionnaires; D013557:Switzerland