Journals / Nefroloji Hemşireliği Dergisi / 2026 / Cilt: 21 Sayı: 2

Determination of Pre-Discharge Learning Needs of Patients Undergoing Kidney Transplantation/Böbrek Nakli Geçiren Hastaların Taburculuk Öncesi Öğrenim Gereksinimlerinin Belirlenmesi

Böbrek Nakli Geçiren Hastaların Taburculuk Öncesi Öğrenim Gereksinimlerinin Belirlenmesi/Determination of Pre-Discharge Learning Needs of Patients Undergoing Kidney Transplantation

Merdiye Şendir(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, HAMİDİYE HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0002-8243-1669
Pages
89–102
Publication Date
2026-05-26
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The overall mean Patient Learning Needs Scale score was 221.8±29.61, indicating a high level of learning needs.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study aimed to determine the pre-discharge learning needs of patients undergoing kidney transplantation patients.
📊
Key Findings & Data:Materials and Methods: This descriptive, cross-sectional study was conducted between February 5 and December 31, 2022, in the renal transplantation clinics of two hospitals affiliated with a private healthcare group.
💡
Conclusion & Impact:The overall mean Patient Learning Needs Scale score was 221.8±29.61, indicating a high level of learning needs.
🔬Design:Araştırma Makalesi
📍Scope:2022 Verileri
⚙️Variables:Böbrek Nakli · Hemşirelik · Hasta Taburculuğu

Abstract

Aim: This study aimed to determine the pre-discharge learning needs of patients undergoing kidney transplantation patients. Materials and Methods: This descriptive, cross-sectional study was conducted between February 5 and December 31, 2022, in the renal transplantation clinics of two hospitals affiliated with a private healthcare group. The sample consisted of 103 patients who had undergone kidney transplantation surgery. Data were collected through face-to-face interviews using a Personal Information Form, the Pre-Transplantation Treatment/Care/Educational Status Information Form, and the Patient Learning Needs Scale. Ethical approval and written informed consent were obtained prior to data collection. Data were analyzed using descriptive statistics, the Mann-Whitney U test, and the Kruskal-Wallis test with Jamovi software (Version 2.3). Results: The mean age of participants was 43.7±12.52 years; 60.2% were male. The overall mean Patient Learning Needs Scale score was 221.8±29.61, indicating a high level of learning needs. Among the Patient Learning Needs Scale subscales, Treatment and Complications had the highest mean score (41.4±5.4). Statistically significant differences were observed between the Feelings Related to Condition Conclusion: Based on the findings of this study, it was observed that subscale scores and participants’ COVID-19 status (p<0.05). Conclusion: Patients undergoing kidney transplantation demonstrated high pre-discharge learning needs, particularly regarding treatment and potential complications. These findings highlight the importance of structured, individualized, and holistic discharge education and counseling programs to support self-care and long-term adaptation after transplantation.

Özet

Amaç: Bu çalışmanın amacı, böbrek nakli hastalarının taburculuk öncesi öğrenim gereksinimlerini belirlemektir. Gereç ve Yöntem: Bu tanımlayıcı, kesitsel çalışma, 5 Şubat ile 31 Aralık 2022 tarihleri arasında, özel bir sağlık grubuna bağlı iki hastanenin böbrek nakli kliniklerinde gerçekleştirilmiştir. Örneklem, böbrek nakli ameliyatı geçirmiş 103 hastadan oluşmuştur. Veriler, Kişisel Bilgi Formu, Transplantasyon Öncesi Tedavi/Bakım/Eğitim Durumu Bilgi Formu ve Hasta Öğrenim Gereksinimleri Ölçeği kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Veri toplanmadan önce etik onay ve yazılı bilgilendirilmiş onam alınmıştır. Veriler, Jamovi yazılımı (Sürüm 2.3) kullanılarak, tanımlayıcı istatistikler Mann-Whitney U testi ve Kruskal-Wallis testi ile analiz edilmiştir. Bulgular: Katılımcıların ortalama yaşı 43,7±12,52; %60,2’si erkekti. Genel Hasta Öğrenim Gereksinimleri Ölçeği ortalaması 221,8±29,61 olarak belirlendi; bu da yüksek düzeyde öğrenme ihtiyacı olduğunu göstermektedir. Hasta Öğrenim Gereksinimleri Ölçeği alt ölçekleri arasında Tedavi ve Komplikasyonlar alt ölçeği en yüksek ortalama puana sahipti (41,4±5,4). Durumla İlgili Duygular alt ölçeği puanları ile meslek arasında, ayrıca Tedavi ve Komplikasyonlar alt ölçeği en yüksek ortalama puana sahipti (41,4±5,4). Durumla İlgili Duygular alt ölçeği puanları ile meslek arasında, ayrıca Tedavi ve Komplikasyonlar alt ölçeği puanları ile katılımcıların COVID-19 durumu arasında istatistiksel olarak anlamlı farklılıklar gözlemlendi (p<0,05). Sonuç: Böbrek nakli geçiren hastalar, özellikle tedavi ve olası komplikasyonlar konusunda taburculuk öncesinde yüksek düzeyde bilgi edinme ihtiyacı sergilemiştir. Bu bulgular, nakil sonrası özbakımı ve uzun vadeli uyumu desteklemek için yapılandırılmış, kişiye özel ve bütüncül taburculuk eğitimi ve danışmanlık programlarının önemini vurgulamaktadır.

🔖

Cite This Article

Kalkavan, E. B., Şendir, M. (2026). Determination of Pre-Discharge Learning Needs of Patients Undergoing Kidney Transplantation/Böbrek Nakli Geçiren Hastaların Taburculuk Öncesi Öğrenim Gereksinimlerinin Belirlenmesi. Nefroloji Hemşireliği Dergisi, Cilt: 21 Sayı: 2, 89–102. https://ajindex.com/articles/1120952

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (47)

  1. Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements. 2022;12(1):7-11. https://doi.org/10.1016/j.kisu.2021.11.003
  2. Naik RH, Ali S, Hassein M, Shawar SH. Acute Renal Transplantation Rejection. StatPearls Publishing, Treasure Island (FL); 2023.
  3. Gündüz ES, Akyolcu N. Psychosocial experiences of kidney transplant patients: a qualitative research. Current Approaches in Psychiatry. 2020;12:204-18. https://doi.org/10.18863/pgy.774117
  4. Global Observatory on Donation and Transplantation (GODT). [Internet]. 2024. (cited 5 May 2025). Available from: https://www.transplant-observatory.org/
  5. Song L, Jin Q, Zhu L, Liu Z, Cheng W. Application of rapid rehabilitation surgical nursing combined with continuous nursing in self-care ability, medication compliance and quality of life of renal transplant patients. Frontiers in Surgery. 2022;9,844533. https://doi.org/10.3389/fsurg.2022.844533.
  6. Viklicky O, Novotny M, Hruba P. Future developments in kidney transplantation. Curr Opin Organ Transplant. 2020;25:92- 8. https://doi.org/10.1097/MOT.0000000000000722.
  7. Özsoy H, Özkan E. Bibliometric analysis of studies on medication adherence in kidney transplantation patients: Mapping the literature and analyzing trends. NefroHemDergi. 2025;20(2):77-84. https://doi.org/10.47565/ndthdt.2025.99.
  8. Karslı Ş, Koçak HS, Aktaş B. Böbrek nakil hastalarında öz yönetim ve immünsupresif ilaç uyumunun belirlenmesi. Perspectives in Palliative & Home Care. 2024;2(2):82-91. https://doi.org/10.29228/pphcjournal.71186.
  9. Kang CM, Lee H. An integrative literature review of kidney transplantation knowledge tools. PlosOne. 2023;18(1):e0281073. https://doi.org/10.1371/journal.pone.0281073
  10. Lee JA, Kim YA, Jeong HI. Factors affecting treatment adherence of kidney transplantation recipients. J. Korea Contents Assoc. 2019;19(2):619-28. Korean. https://doi.org/10.5392/JKCA.2019.19.02.619.
  11. Rosaasen N, Mainra R, Shoker A, Wilson J, Blackburn D, Mansell H. Education before kidney transplantation. Prog. Transplant. 2017;27(1):58–64. https://doi.org/10.1177/1526924816685862.
  12. Çatal E, Dicle A. Hasta öğrenim gereksinimleri ölçeği’nin Türkiye’de geçerlik ve güvenirlik çalışması. DEUHYOED [Internet]. 2008[cited: 10 May 2025];1(1):19-32. Available from: https://www.proquest.com/docview/2985700707?sourcetype=Dissertations%20&%20Theses
  13. Che HL, Yeh MY, Jiang RS, Wu SM. Taiwanese nurses’ experiences of difficulties in providing patient education in hospital settingsNurs Health Sci. 2016;18(1):113-9. https://doi.org/10.1111/nhs.12266.
  14. Gayosso LAS, Zamora MCR, Meneses BIP, Molina LMM. Enseñanza del autocuidado a pacientes con trasplante renal: una revisión sistemática. CuidArte. 2024;13(25). https://doi.org/10.22201/fesi.23958979e.2024.13.25.85991
  15. Pehlivan S, Vatansever N, Arslan İ, Yildiz A, Ersoy A. Level of daily life activities and learning needs in renal transplant patients. Exp Clin Transplant. 2020;18(4):498-504. https://doi.org/10.6002/ect.2018.0151.
  16. Zhang P, Dolendo GE, Trajera SM, Ching GS. Health literacy, disease perception, coping style, and self-management in kidney transplant recipients: a cross-sectional study. International Journal of Basic and Applied Sciences. 2025;14(6):384-97. https://doi.org/10.14419/hc1gxd55.
  17. Machado KPM, Lysakowski S, Araujo BR, Caregnato RCA, Blatt CR. Model of nursing technical care for kidney transplant patients. Rev. Eletr. Enferm. 2022;24:66892:1-9. https://doi.org/10.5216/ree.v24.66892.
  18. Bubela N, Galloway S, McCay E, McKibbon A, Nagle L, Pringle D, et al. The patient learning needs scale: reliability and validity. J Adv Nurs. 1990;15(10):1181-7. https://doi.org/10.1111/j.1365-2648.1990.tb01711.x.
  19. Üstündağ H, Gül A, Özkaya B. The determination of patient learning needs after day surgery: a cross-sectional study. J Perianesth Nurs. 2023;38(2):258-63. https://doi.org/10.1016/j.jopan.2022.06.002.
  20. Boran O, Köse G. A Turkish study to identify the discharge learning needs of spinal surgery patients. J Neurosci Nurs. 2023;55(3):86-90. https://doi.org/10.1097/JNN.0000000000000702.
  21. Karaca A, Aycil İ. The learning needs of hematology patients receiving chemotherapy treatment and affecting factors: descriptive research. EGEHFD. 2023;39(1):103-13. https://doi.org/10.53490/egehemsire.1133842.
  22. Özşaker E, Akan S, Dolgun E, Candan Dönmez Y. Investigation of the relationship between learning needs and anxiety of surgical patients: cross-sectional study. Turkiye Klinikleri J Nurs Sci. 2022;14(1). https://doi.org/10.5336/nurses.2021-83062.
  23. Kavaklı Ö, Kavaklı K, Tarhan G. The analysis of learning needs and level of awareness for patients who underwent thoracic surgery. Gülhane Tip Dergisi. 2020;62(2):80. https://doi.org/10.4274/gulhane.galenos.2019.863.
  24. Akkuzu G, Kurt G, Guvenc G, Kok G, Simsek S, Dogrusoy S, et al. Learning needs of gynecologic cancer survivors. J Cancer Educ. 2018;33:544-50. https://doi.org/10.1007/s13187-016-1118-y.
  25. Karahan A. Discharge training of patient with liver transplantation. Turkiye Klinikleri J Nurs Sci. 2021;13(1):152-62. doi: https://doi.org/10.5336/nurses.2020-76231.
  26. Ko D, Bratzke LC, Muehrer Rj, Brown RL. Self-management in liver transplantation. Appl Nurs Res. 2019;45:30-8. doi: https://doi.org/10.1016/j.apnr.2018.11.002.
  27. Gabriel ML, Chen L, Lee S, Accettura J, Campbell EE, Dissanayake M, et al. Lessons learned about the education needs of kidney transplant recipients: A mixed-method study. Can J Kidney Health Dis.2025;12,20543581251338462. https://doi.org/10.1177/20543581251338462
  28. Hamid M, Rogers E, Chawla G, Gill J, Macanovic S, Mucsi I. Pretransplant patient education in solid-organ transplant: a narrative review. Transplantation. 2022;106(4):722-33. https://doi.org/10.1097/TP.0000000000003893.
  29. Rahayu U, Ibrahim K, Herman H. Exploring the learning needs for discharge planning among postoperative orthopedic patients: A scoping review. Patient Prefer Adherence. 2025;1881-91. https://doi.org/10.2147/PPA.S529228.
  30. Çalışkan F, Sunkar K. Abstract nurses’ levels of ımplementation of patient E. Halk Sağlığı Hemşireliği Dergisi. 2025;7(2):96-104. https://doi.org/10.54061/jphn.1672639.
  31. Gök F, Faydalı S. Cerrahi hastalarının öğrenim gereksinimleri ve etkileyen faktörler. TOGÜ Sağlık Bilimleri Dergisi [Internet]. 2023[cited: 10 May 2025];3(1):1-14. 32. Akyol B, Durmaz Edeer A. Periferik arter ameliyatı olan hastaların öğrenme gereksinimleri ve etkileyen faktörlerin belirlenmesi. Türkiye Klinikleri Cardiovascular Sciences. 2021;33(1):31-41. https://doi.org/10.5336/cardiosci.2020-78275.
  32. Temiz Z, Öztürk D, Uğraş GA, Öztekin SD, Şengül E. Determination of patient learning needs after thyroidectomy. Asian Pac J Cancer Prev. 2016;17(3):1479-83. https://doi.org/10.7314/APJCP.2016.17.3.1479.
  33. Soyer Ö, Dönmez, YC, Van Giersbergen MY. Determination of patient learning needs of surgical patients. DEUHFED.[Internet] 2018[cited: 10 May 2025];11(3):200-8. 35. Dursun HB, Yılmaz E. Batın cerrahisi yapılan hastaların öğrenim gereksinimleri. CBUSBED. [Internet ] 2015[cited: 10 May 2025];2(3):65-70. Available from: https://izlik.org/JA66MW26LC
  34. Eskicioğlu M, Ünal E, Özdemir A. Determination of learning needs of kidney patients during stay in clinic. Uludag Tıp Derg. 2019;45(2):205-10. https://doi.org/10.32708/uutfd.562810.
  35. Sivrikaya SK, Erdem G. The detection of coronary intensive care unit patients’ patient learning requirements. TJFMPC. 2018;12(3):186-92. https://doi.org/10.21763/tjfmpc.452466.
  36. Mosleh SM, Eshah NF, Almalik MM. Perceived learning needs according to patients who have undergone major coronary interventions and their nurses. J Clin Nurs. 2017;26(3-4):418-26. https://doi.org/10.1111/jocn.13417.
  37. Dağ H, Dönmez S, Güleç D, Öztürk R. Learning needs of gynecological surgerypatients before discharge summary. EGEHFD. [Internet]. 2014[cited: 10 May 2025];30(1):45-59. Available from: https://izlik.org/JA59BY92BZ.
  38. Golfieri L, Gitto S, Vukotic R, Andreone P, Marra F, Morelli MC, et al. Impact of psychosocialstatus on liver transplant process. Ann Hepatol. 2019;18(6):804-9. https://doi.org/10.1016/j.aohep.2019.06.011.
  39. Leonforte F, Veroux P, Mistretta A, Giaquinta A, Giambra MM, Zerbo D, et al. Role of educational level in kidney transplant outcomes. Biomedicines. 2025;13(4):916. https://doi.org/10.3390/biomedicines13040916.
  40. Fernández-Ruiz M, Aguado JM. Immunomodulatory therapies for COVID-19 in solid organ transplant recipients. Curr Transplant Rep. 2020;7(4):379-89. https://doi.org/10.1007/s40472-020-00306-x.
  41. Kremer D, Pieters TT, Verhaar MC, Berger SP, Bakker SJ, van Zuilen AD, et al. A systematic review and meta-analysis of COVID-19 in kidney transplant recipients: lessons to be learned. American Journal of Transplantation. 2021;21(12):3936-45. https://doi.org/10.1111/ajt.16742.
  42. Toapanta N, Torres IB, Sellares J, Chamoun B, Seron D, Moreso F. Kidney transplantation and COVID-19 renal and patient prognosis. Clin Kidney J. 2021;14:21-9. https://doi.org/10.1093/ckj/sfab030.
  43. Mahalingasivam V, Craik A, Tomlinson LA, Ge L, Hou L, Wang Q, et al. A systematic review of COVID-19 and kidney transplantation. Kidney Int Rep. 2021;6(1):24-45. https://doi.org/10.1016/j.ekir.2020.10.023.
  44. Pascual J, Melilli E, Jiménez-Martín C, González-Monte E, Zárraga S, Gutiérrez-Dalmau A, et al. COVID-19-related mortality during the first 60 days after kidney transplantation. Eur Urol. 2020;78(4):641-3. https://10.1016/j.eururo.2020.06.036.
  45. Özşaker E. Kidney transplantation: effect of Covid-19. Van Sağlık Bilimleri Dergisi. 2021;14(3):352-60. https://doi.org/10.52976/vansaglik.944910.
  46. Gök F, Faydalı S. Cerrahi hastalarının öğrenim gereksinimleri ve etkileyen faktörler. TOGÜ Sağlık Bilimleri Dergisi [Internet]. 2023[cited: 10 May 2025];3(1):1-14.
  47. Soyer Ö, Dönmez, YC, Van Giersbergen MY. Determination of patient learning needs of surgical patients. DEUHFED.[Internet] 2018[cited: 10 May 2025];11(3):200-8.