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Challenges in posttransplantation care for kidney transplant recipients : a qualitative study highlighting gaps in psychological, social and exercise support

Jasmine De Beir (UGent) , Stijn De Baets (UGent) , Marieke Vandecruys, Marie Renier, Stefan De Smet, Amaryllis H. Van Craenenbroeck, Wim Van Biesen (UGent) , Evi Nagler (UGent) , Francis Verbeke (UGent) , Patrick Calders (UGent) , et al.
(2024) JOURNAL OF RENAL CARE. 50(4). p.445-453
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Abstract
BackgroundKidney transplantation offers meaningful health improvements compared to dialysis, yet the quality of life and life expectancy of kidney transplant recipients still lag behind those of their healthy peers. Physical inactivity and poor physical fitness are prevalent among kidney transplant recipients, affecting overall life participation.ObjectivesTo explore challenges hindering life participation for kidney transplant recipients and reveal facilitators and barriers to integrating rehabilitation into their daily lives.DesignAn explorative study using a qualitative method.ParticipantsFourteen purposively selected kidney transplant recipients.ApproachSemistructured, individual interviews were conducted posttransplantation. The following topics were covered: living with chronic kidney disease, pretransplantation challenges, posttransplantation recovery, engagement in various activities, including physical activity, and the need for supervised exercise rehabilitation programmes. Interviews were recorded and transcribed verbatim, and an inductive thematic analysis approach was used.FindingsData saturation occurred after analysing 12 interviews, revealing two main themes: the impact on life participation and the impact on physical and mental functioning. Participants expressed the need for comprehensive posttransplant care, including mental health support, family education and guidance on returning to work. Structured support in managing physical fitness, tailored to individual preferences, was also recognised as important.ConclusionsThe study underscores the necessity for a biopsychosocial approach to posttransplant care that addresses the multifaceted challenges faced by kidney transplant recipients. A multidisciplinary approach, tailored support, education and individualised exercise programmes are crucial for enhancing their overall well-being and integrating rehabilitation into their daily lives, considering both physical and psychosocial aspects.
Keywords
exercise programme, kidney transplantation, life participation, physical activity, rehabilitation, PHYSICAL-ACTIVITY, SELF-MANAGEMENT, OF-LIFE, PARTICIPATION, INTERVENTION, FITNESS

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MLA
De Beir, Jasmine, et al. “Challenges in Posttransplantation Care for Kidney Transplant Recipients : A Qualitative Study Highlighting Gaps in Psychological, Social and Exercise Support.” JOURNAL OF RENAL CARE, vol. 50, no. 4, 2024, pp. 445–53, doi:10.1111/jorc.12507.
APA
De Beir, J., De Baets, S., Vandecruys, M., Renier, M., De Smet, S., Van Craenenbroeck, A. H., … Vanden Wyngaert, K. (2024). Challenges in posttransplantation care for kidney transplant recipients : a qualitative study highlighting gaps in psychological, social and exercise support. JOURNAL OF RENAL CARE, 50(4), 445–453. https://doi.org/10.1111/jorc.12507
Chicago author-date
De Beir, Jasmine, Stijn De Baets, Marieke Vandecruys, Marie Renier, Stefan De Smet, Amaryllis H. Van Craenenbroeck, Wim Van Biesen, et al. 2024. “Challenges in Posttransplantation Care for Kidney Transplant Recipients : A Qualitative Study Highlighting Gaps in Psychological, Social and Exercise Support.” JOURNAL OF RENAL CARE 50 (4): 445–53. https://doi.org/10.1111/jorc.12507.
Chicago author-date (all authors)
De Beir, Jasmine, Stijn De Baets, Marieke Vandecruys, Marie Renier, Stefan De Smet, Amaryllis H. Van Craenenbroeck, Wim Van Biesen, Evi Nagler, Francis Verbeke, Patrick Calders, and Karsten Vanden Wyngaert. 2024. “Challenges in Posttransplantation Care for Kidney Transplant Recipients : A Qualitative Study Highlighting Gaps in Psychological, Social and Exercise Support.” JOURNAL OF RENAL CARE 50 (4): 445–453. doi:10.1111/jorc.12507.
Vancouver
1.
De Beir J, De Baets S, Vandecruys M, Renier M, De Smet S, Van Craenenbroeck AH, et al. Challenges in posttransplantation care for kidney transplant recipients : a qualitative study highlighting gaps in psychological, social and exercise support. JOURNAL OF RENAL CARE. 2024;50(4):445–53.
IEEE
[1]
J. De Beir et al., “Challenges in posttransplantation care for kidney transplant recipients : a qualitative study highlighting gaps in psychological, social and exercise support,” JOURNAL OF RENAL CARE, vol. 50, no. 4, pp. 445–453, 2024.
@article{01JJ1VVCVQPAF7CDX8BBPFAMKR,
  abstract     = {{BackgroundKidney transplantation offers meaningful health improvements compared to dialysis, yet the quality of life and life expectancy of kidney transplant recipients still lag behind those of their healthy peers. Physical inactivity and poor physical fitness are prevalent among kidney transplant recipients, affecting overall life participation.ObjectivesTo explore challenges hindering life participation for kidney transplant recipients and reveal facilitators and barriers to integrating rehabilitation into their daily lives.DesignAn explorative study using a qualitative method.ParticipantsFourteen purposively selected kidney transplant recipients.ApproachSemistructured, individual interviews were conducted posttransplantation. The following topics were covered: living with chronic kidney disease, pretransplantation challenges, posttransplantation recovery, engagement in various activities, including physical activity, and the need for supervised exercise rehabilitation programmes. Interviews were recorded and transcribed verbatim, and an inductive thematic analysis approach was used.FindingsData saturation occurred after analysing 12 interviews, revealing two main themes: the impact on life participation and the impact on physical and mental functioning. Participants expressed the need for comprehensive posttransplant care, including mental health support, family education and guidance on returning to work. Structured support in managing physical fitness, tailored to individual preferences, was also recognised as important.ConclusionsThe study underscores the necessity for a biopsychosocial approach to posttransplant care that addresses the multifaceted challenges faced by kidney transplant recipients. A multidisciplinary approach, tailored support, education and individualised exercise programmes are crucial for enhancing their overall well-being and integrating rehabilitation into their daily lives, considering both physical and psychosocial aspects.}},
  author       = {{De Beir, Jasmine and De Baets, Stijn and Vandecruys, Marieke and Renier, Marie and De Smet, Stefan and Van Craenenbroeck, Amaryllis H. and Van Biesen, Wim and Nagler, Evi and Verbeke, Francis and Calders, Patrick and Vanden Wyngaert, Karsten}},
  issn         = {{1755-6678}},
  journal      = {{JOURNAL OF RENAL CARE}},
  keywords     = {{exercise programme,kidney transplantation,life participation,physical activity,rehabilitation,PHYSICAL-ACTIVITY,SELF-MANAGEMENT,OF-LIFE,PARTICIPATION,INTERVENTION,FITNESS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{445--453}},
  title        = {{Challenges in posttransplantation care for kidney transplant recipients : a qualitative study highlighting gaps in psychological, social and exercise support}},
  url          = {{http://doi.org/10.1111/jorc.12507}},
  volume       = {{50}},
  year         = {{2024}},
}
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