以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (1): 58-63.doi: 10.16460/j.issn1008-9969.2022.01.058

Previous Articles     Next Articles

Follow-up Management Strategy for Organ Transplant Recipients at Home during Regular Epidemic Prevention and Control of COVID-19

LIU Li-fang1a,2, WU Xiao-xia1b, LIU Jia1a,2,3   

  1. 1a. Dept. of Organ Transplant; 1b. Dept. of Nursing Administration, the Third Xiangya Hospital of Central South University, Changsha 410013, China;
    2. Engineering Research Center for Transplantation Medicine of National Health Council, Changsha 410013, China;
    3. Xiangya Nursing School, Central South University, Changsha 410013, China
  • Received:2021-02-04 Online:2022-01-10 Published:2022-02-14

PDF (PC)

76

Like

Abstract: Objective To develop follow-up management strategy for organ transplant recipients at home under regular epidemic prevention and control of COVID-19. Methods Based on telephone follow-up of 694 solid organ transplant recipients (SOT) at home during COVID-19 outbreak, Delphi expert consultation method was used to conduct 3 rounds of expert consultation among 17 experts to determine the management strategy of home telephone follow-up of SOT recipients during the epidemic. Results The positive coefficient of 3 rounds of expert consultation was all 100% and expert coefficients 0.896. Coordination coefficient ranged from 0.136 to 0.457 and the coefficient of variation of the third round ranged from 0 to 0.209. The final follow-up management strategy consisted of 5 first-level indicators (medical follow-up, medication management, family life, response to regular epidemic prevention, and quality control), 13 second-level and 39 third-level indicators. Conclusion The follow-up management strategy for organ transplant recipients constructed in this study tends to be consistent with expert consultation on indicators at all levels, with high enthusiasm and authority of experts, which provides practical basis for regulating the follow-up management of SOT patients and other disease groups in regular epidemic prevention and control.

Key words: epidemic prevention and control, transplantation, follow-up

CLC Number: 

  • R473.6
[1] 中国政府.关于落实常态化疫情防控要求进一步加强医疗机构感染防控工作的通知[EB/OL]. http://www.gov.cn/xinwen/2020-05/01/content_5508135.htm.
[2] 石炳毅, 袁铭. 中国肾移植受者免疫抑制治疗指南(2016版)[J]. 器官移植, 2016, 7(5):327-331. DOI:10.3969/j.issn.1674-7445.2016.05.001.
[3] Organ Procurement and Transplantation Network. National Data [EB/OL].(2019-09-10).https://optn.transplant.hrsa. gov/data/view-data-reports/national-data/.
[4] 朱美玉, 吴美玲. 肾移植术后病人随访方法与生活质量关系的研究[J]. 护理研究, 2007,12(5B):1234-1235. DOI:10.3969/j.issn.1009-6493.2007.14.006.
[5] 付迎欣. 肾移植术后随访规范(2019版)[J]. 器官移植,2019,10(6):667-671. DOI:10.3969/j.issn.1674-7445.2019.06.006.
[6] 蒋婷婷, 单岩, 杜理平,等. 肾移植后患者服药依从性现状及干预研究进展[J]. 护理学报, 2018,25(18):37-41. DOI:10.16460/j.issn1008-9969.2018.18.037.
[7] 中国疾病预防控制中心. 新型冠状病毒肺炎流行病学特征分析[J].中华流行病学杂志, 2020(2):145-151.
[8] 刘佳, 方春华, 张红, 等. 基于新媒体的肾移植患者健康教育方案的构建[J]. 护理学杂志, 2019, 34(12):87-90.
[9] 陈栋. 中国肝移植受者选择与术前评估技术规范(2019版)[J]. 中华移植杂志(电子版), 2019, 13(3):161-166. DOI:10.3969/j.issn.1001-5256.2020.01.007.
[10] Keating BJ, Mukhtar EH, Elftmann ED,et al.Early detection of SARS-CoV-2 and other Infections in Solid Organ Transplant Recipients and Household Members Using Wearable Devices[J]. Transpl Int, 2021,34(6):1019-1031. DOI:10.1111/tri.13860.
[11] 巨春蓉, 李宁, 邱涛, 等. 器官移植受者新型冠状病毒肺炎的临床特点和疫情期间的管理策略(第1版)[J]. 器官移植,2020,11(2):185-193.
[12] 吴小霞, 刘佳, 谢建飞, 等. 肾移植患者自我管理指南[M]. 长沙:中南大学出版社, 2019:234-250.
[13] De Carlis R, Vella I, Incarbone N, et al.Impact of the Covid-19 Pandemic on Liver Donation and Transplantation: A Review of the Literature[J]. World J Gastroenterology, 2021, 27(10):928-938. DOI:10.3748/wjg.v27.i10.928.
[14] Chang AM, Gardner GE, Dumeld C, et al.A Delphi Study To Validate An Advanced Practice Nursing Tool[J].J Adv Nurs, 2010, 66(10):2320-2330.DOI:10.1111/j.1365-2648.2010.05367.x
[15] 黄媛媛, 傅巧美, 刘光香,等. 肾移植患者基于“互联网+”延续护理的效果观察[J]. 护理学报, 2020, 387(8):73-76. DOI:10.16460/j.issn1008-9969.2020.08.069.
[16] 韩梦汐,刘红霞,胡阅,等.肾移植受者锻炼意向与锻炼行为的关系:锻炼计划的中介作用[J]. 护理研究, 2020,34(9):1525-1529.DOI:10.12102/j.issn.1009-6493.2020.09.007.
[17] Gual LC, Velarde Collado JM, Portell VM, et al.Health and Safety Professional Roles and Competencies to Promote Company-level Integration of Preventive Actions. A Delphy Study[J]. Arch Prev Riesgos Labor, 2014, 17(1):10-17. DOI:10.12961/aprl.2014.17.1.02.
[1] TIAN Wen-jie, LV Yi, WANG Kai-ling, YANG Qin-ling, XIAO Qi-gui. Nursing of Complications after Liver Transplantation in Children with Biliary Atresia [J]. Journal of Nursing, 2021, 28(18): 50-52.
[2] SHEN Yan, CHEN Lan, FEI Kai-hong, PAN Heng-de, YU Jia-qi, WANG Ying, JIANG Yan-hua, ZHANG Jie, YAO Ye-ying. Best Evidence Summary of Early Mobilization after Liver Transplantation [J]. Journal of Nursing, 2021, 28(16): 16-21.
[3] XUAN Cui-xiang, HU Yan, ZHANG Jun, XIN Ling, ZHANG Lan-lan, BIAN Wei-feng, LI Feng, JIANG Yun-juan, LI Shi-guang. Rehabilitation Effect of On-line Precise Stratified Guidance for PCI Patients during COVID-19 Pandemic [J]. Journal of Nursing, 2021, 28(16): 42-46.
[4] ZOU Lan-juan, SONG Ya-min, LING Yun. Nursing of Children with ECMO after Heart Transplantation: A 5-case Study [J]. Journal of Nursing, 2021, 28(12): 62-64.
[5] LIU Dan-yang, AI Jun, LI Dan, LIAO Sheng-wu, ZHU Qing-yao, GONG Ni-rong, ZHANG Ting-ting, ZHANG Guang-qing. Effect of Regular Outpatient Follow-up on Hypertension Control and Disease Outcome in Patients Undergoing Peritoneal Dialysis: A Retrospective Cohort Study [J]. Journal of Nursing, 2021, 28(10): 11-16.
[6] HUANG Yuan-Yuan, FU Qiao-Mei, LIU Guang-Xiang, BAI Ya-Xin, ZHANG Qing. Effect of “Internet plus”Extended Nursing on Patients with Renal Transplantation [J]. Journal of Nursing, 2020, 27(8): 69-72.
[7] XIE Wen-jun, ZHANG Shuai, LIU Yi, ZHANG Hui-juan, LIU Gui-ying, WANG Bei, LIU Jie, LIU Yu-qiu, GUAN Wei. Perceived Social Support and Coping Style as Mediators between Resilience and Post-traumatic Growth among Patients with Hematopoietic Stem Cell Transplant [J]. Journal of Nursing, 2019, 26(3): 73-78.
[8] WANG Yuan,LIN Jian-yu,LV Shao-cheng,HE Qiang. Pathogenic Bacteria of Abdominal Infection after Liver Transplantation and Its Nursing Strategy [J]. Journal of Nursing, 2017, 24(15): 55-57.
[9] CAI Yu-ping,SUN Liang-chen,XU Xin-hua,WANG Ying-chun. Health Management of Diabetic Patients through Mobile-based Follow-up Platform [J]. Journal of Nursing, 2017, 24(13): 72-75.
[10] WANG Jing-xin,LUO Dong-hua,LEI Ying,CHEN Qiong,ZHOU Liang. Effects of Home Follow-up on Family Function of Heroin Spongiform Leukoen-cephalopathy Patients [J]. , 2017, 24(1): 73-75.
[11] CHEN Xiao,ZHANG Hong,Ding Xiang,LIU Ling,ZHUO Lin,GENG Chun-mi. Effect of Quality Control Circle on Reducing Defect Rate of Shift Handover Content of Primary Nurses in Organ Transplantation Center [J]. Journal of Nursing, 2016, 23(8): 9-12.
[12] LI Rao,YUAN Li,GU Yan,OU Qing. Effect of Multiform Follow-up on Treatment Compliance and Glycemic Control of Discharged Young and Middle-aged Patients with type 2 Diabetes [J]. Journal of Nursing, 2015, (18): 71-74.
[13] WU Qian,ZHAO Qing-hua,XIAO Ming-zhao,WEI Xiao-mei,WANG Fu-lan,SHU Chun-mei. Professional Health Education by Nurses through Hospital-department Level Follow-up System [J]. Journal of Nursing, 2015, (17): 70-72.
[14] HU Feng-mei. Follow-up of Patient Undergoing in Vitro Fertilization-embryo Transfer:A Case Study of 4 062 [J]. Journal of Nursing, 2014, (8): 45-48.
[15] LONG Fei-yan,YAN Jin,HU Ping-an,LI Xia,YU Bo,ZHANG Yong. Nursing of Type I Diabetic Patients with Porcine Islet Transplantation:A 23-Case Study [J]. Journal of Nursing, 2014, (16): 37-40.
Viewed
Full text


Abstract

Cited
  Shared   
[1] Zhang Rui, Ye Xiang-hong, Zhao Ze-hua, Han Zhen, Xie Wen-hui, Wu Cui-li. Construction of Early Warning and Assessment Index System of Enteral Nutrition Intolerance for Patients with Abdominal Trauma[J]. Journal of Nursing, 2021, 28(23): 1 -5 .
[2] DONG Xiao-yu, ZHANG Yi-lin, ZHANG Jie, FAN Xiu-zhen. The Mediating and Moderating Effects of Intrinsic Research Motivation and Implicit Theories of Intelligence between Team Climate and Creativity of Nursing Postgraduates[J]. Journal of Nursing, 2021, 28(23): 6 -10 .
[3] ZHAO Lu, GU Pei-pei, LI Yu-xue, ZHENG Li-ping, LI Jun-ling. Mediating Effect of Coping Style on Disability Acceptance and Quality of Life in Patients with Diabetic Foot Ulcers Undergoing Amputation[J]. Journal of Nursing, 2021, 28(23): 11 -16 .
[4] . [J]. Journal of Nursing, 2021, 28(23): 67 -68 .
[5] ZHANG Shan-shan, LI Hui-ping, SONG Jiang-yan, ZHOU Meng-ke, GAO Jie, LI Jia-xin. Reliability and Validity of the Chinese Version of Family Resilience Assessment in Breast Cancer Patients[J]. Journal of Nursing, 2021, 28(24): 1 -5 .
[6] WANG Zhang-yi, ZHAO Hao-mei, Ye Jian-ya, ZHANG Si-ai, WANG Yue, WANG Zhao, PANG Xiao-li. Status Quo of Spiritual Needs and Its Influence Factors in Elderly Patients with Chronic Heart Failure: A 321-case Study[J]. Journal of Nursing, 2022, 29(1): 1 -6 .
[7] ZHU Hong, LIU Zheng, WANG Ya, ZHANG Meng, SONG Jin-ping. Development of Quality Evaluation System for Risk Management of Unplanned Extubation of Inpatients Based on 3D Quality Evaluation Model[J]. Journal of Nursing, 2022, 29(1): 7 -12 .
[8] WANG Ke, WU Jin, HUANG Hong-yu, LI Xin-yi, ZHOU Ming-ming, WU Xiao-na. Quality Control Circle in Standardized Medical Nutrition Management of Hospitalized Children with Diabetes[J]. Journal of Nursing, 2022, 29(1): 13 -16 .
[9] . [J]. Journal of Nursing, 2022, 29(1): 17 -19 .
[10] ZHANG Xiao-xia, HU Shu-feng, FENG Jin-xing. Establishment of Special Group of Safe Transfer Based on Information System Construction[J]. Journal of Nursing, 2022, 29(1): 20 -24 .