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Table 5 Evaluation of the effectiveness of traditional care in kidney transplant recipients

From: Construction of an index system for evaluating the effectiveness of transitional care in kidney transplant recipients

Indicators Score CV Weights
1. Physiological Domains 4.74 ± 0.45 0.10 0.30
1.1. Transplanted kidney function 4.95 ± 0.23 0.05 0.13
1.2. Infection status 4.84 ± 0.38 0.08 0.10
1.3. Cardiovascular function 4.53 ± 0.61 0.14 0.05
1.4. Digestive function 4.26 ± 0.81 0.19 0.02
1.1.1. Creatinine 4.95 ± 0.23 0.05 0.09
1.1.2. Be aware of the signs of rejection and inform the health care provider in a timely manner 4.84 ± 0.50 0.10 0.05
1.2.1. History of post-discharge infections requiring in-patient treatment (lung infections, urinary tract infections, etc.) 4.74 ± 0.56 0.12 0.02
1.2.2. To know the symptoms of infection and seek medical attention soon 4.84 ± 0.38 0.08 0.05
1.2.3. To know the precautions for lung infection and urinary tract infection 4.79 ± 0.42 0.09 0.03
1.3.1. Blood pressure 4.58 ± 0.61 0.13 0.03
1.3.2. Be aware of the importance of managing blood pressure and lipids and the normal values of the indicators 4.53 ± 0.51 0.11 0.02
1.3.3. Overall cholesterol level 4.11 ± 0.66 0.16 0.01
1.4.1. Diarrhea occurred after discharge from the hospital 4.53 ± 0.61 0.14 0.01
1.4.2. To know the simple management of diarrhea and nausea/vomiting 4.32 ± 0.67 0.16 0.01
1.4.3. Nausea/vomiting after discharging from hospital 3.95 ± 0.71 0.18 0.003
2. Psychological Domains 4.74 ± 0.56 0.12 0.30
2.1. Positive mental state 4.84 ± 0.38 0.08 0.22
2.2. Negative mental state 4.42 ± 0.61 0.14 0.08
2.1.1. I am fully confident about my future life 4.74 ± 0.45 0.10 0.11
2.1.2. I can tolerate and maintain a good attitude in the face of possible post-transplant problems (elevated creatinine, lung infections, etc.) 4.63 ± 0.50 0.11 0.06
2.1.3. Do you have a positive attitude about your current physical condition 4.63 ± 0.50 0.11 0.06
2.2.1. Anxiety/depression (due to appearance, body shape changes, complications, secondary transplants, costs, etc.) 4.47 ± 0.61 0.14 0.05
2.2.2. Be well-informed about solutions for anxiety alleviation 4.32 ± 0.67 0.16 0.03
3. Health Behaviour-related Domains 4.63 ± 0.45 0.11 0.20
3.1. Medication adherence 4.95 ± 0.23 0.05 0.07
3.2. Regular follow-up and self-monitoring 4.95 ± 0.23 0.05 0.07
3.3. Nutritional status 4.58 ± 0.61 0.13 0.03
3.4. Physical activity status 4.37 ± 0.60 0.14 0.02
3.5. Lifestyle habits 4.53 ± 0.51 0.11 0.02
3.1.1. Be able to follow medical advice and use medication accurately (ensure the frequency, dosage and duration of medication and do not stop medication without permission) 5.00 ± 0.00 0.00 0.03
3.1.2. Do not take medication without the consent of a professional 4.79 ± 0.42 0.09 0.02
3.1.3. Be aware of the possible side effects of taking immunosuppressive drugs 4.68 ± 0.48 0.10 0.01
3.1.4. Be able to consult a professional before vaccination 4.63 ± 0.60 0.13 0.01
3.2.1. To learn proper self-monitoring (e.g. blood pressure, temperature, weight, urine output) 4.79 ± 0.42 0.09 0.03
3.2.2. Actively monitor indicators (e.g. blood pressure, temperature, weight, urine output) and know normal values 4.74 ± 0.45 0.10 0.02
3.2.3. Follow up with your doctor and have a physical examination as required (every six months to a year, as required by your transplant surgeon) 4.74 ± 0.45 0.10 0.02
3.2.4. Number of unscheduled readmissions after discharge from hospital 4.16 ± 0.77 0.18 0.01
3.3.1. Blood glucose 4.53 ± 0.51 0.11 0.01
3.3.2. Be able to opt for healthy foods and maintain a balanced diet (small, frequent meals, high quality protein, high calcium, low cholesterol, etc.) 4.53 ± 0.70 0.15 0.01
3.3.3. Be able to avoid forbidden foods such as grapefruit and immune-enhancing health products such as ginseng, deer antler, royal jelly, etc 4.90 ± 0.32 0.06 0.01
3.3.4. Body mass index 4.26 ± 0.65 0.15 0.002
3.4.1. Self-care status 4.32 ± 0.58 0.13 0.01
3.4.2. To know the type and amount of exercise that is appropriate for you at different stages after surgery 4.47 ± 0.51 0.11 0.01
3.4.3. Appropriate exercise program in place and executed 4.11 ± 0.66 0.16 0.003
3.4.4. To know the precautions for sex after transplantation 4.05 ± 0.85 0.21 0.002
3.5.1. Quit smoking and restricted drinking 4.63 ± 0.68 0.15 0.01
3.5.2. Regularity of routine 4.63 ± 0.60 0.13 0.01
3.5.3. Sleep status 4.63 ± 0.50 0.11 0.01
4. Social and Environment Domains 4.53 ± 0.51 0.11 0.14
4.1. Healthcare resource utilization 4.37 ± 0.76 0.17 0.08
4.2. Life environment 4.26 ± 0.65 0.15 0.05
4.3. Social function 3.63 ± 0.90 0.25 0.02
4.1.1. Be able to access solutions to post-transplant related questions and assistance from the hospital/community/public media (e.g. WeChat, etc.) 4.68 ± 0.58 0.12 0.04
4.1.2. Be supported and assisted by disease-related national medical policies (e.g., health insurance, chronic disease and serious illness assistance, etc.) 4.47 ± 0.61 0.14 0.02
4.1.3. Maintain favorable communication with health care professionals 4.58 ± 0.61 0.13 0.02
4.2.1. The residential environment is clean, tidy and well ventilated 4.68 ± 0.48 0.1 0.04
4.2.2. No allergenic substances (such as pollen, willow, animal hair, etc.) in the residential and occupational environment 4.16 ± 0.69 0.17 0.01
4.3.1. Be able to obtain the support of family and friends 4.74 ± 0.45 0.1 0.01
4.3.2. Be able to engage in normal social and leisure activities (if condition permits) (doing household chores, visiting friends and relatives, dining out, shopping, vacation, etc.) 4.11 ± 0.57 0.14 0.003
4.3.3. Sharing experiences, questions and knowledge about kidney transplantation with fellow patients 4.05 ± 0.71 0.17 0.002
5. Satisfaction 4.05 ± 0.62 0.15 0.06
5.1. Transitional care services 4.68 ± 0.48 0.10 0.05
5.2. Transitional care experience 4.21 ± 0.63 0.15 0.02
5.1.1. Transitional care formats (e.g., mini-lectures, renal club, WeChat groups, brochures, micro-lessons, etc.) 4.68 ± 0.48 0.10 0.02
5.1.2. Transitional care content (e.g., diet, exercise, drug knowledge, psychological support, etc.) 4.58 ± 0.51 0.11 0.01
5.1.3. Consistent information from health care workers 4.42 ± 0.69 0.16 0.01
5.2.1. Promptness, persistence and availability of transitional care 4.79 ± 0.42 0.09 0.01
5.2.1. Attitudes of service when providing care 4.47 ± 0.61 0.14 0.004
  1. Data was presented as mean ± standard deviation (SD), CV = Coefficient of variation