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Self-management skills in a UK sample of young people with chronic liver disease.
Day, Jemma; Hames, Anna; Earl, Megan; Simpson, Anna; Joshi, Deepak; Pissas, Eleanna; Samyn, Marianne.
Afiliação
  • Day J; Institute of Liver Studies, King's College Hospital, London, UK.
  • Hames A; Institute of Liver Studies, King's College Hospital, London, UK.
  • Earl M; Paediatric Liver, Gastroenterology & Nutrition Centre, King's College Hospital, London, UK.
  • Simpson A; Institute of Psychiatry, Psychology & Neuroscience, King's College Hospital, London, UK.
  • Joshi D; Institute of Liver Studies, King's College Hospital, London, UK.
  • Pissas E; Paediatric Liver, Gastroenterology & Nutrition Centre, King's College Hospital, London, UK.
  • Samyn M; Paediatric Liver, Gastroenterology & Nutrition Centre, King's College Hospital, London, UK.
Pediatr Transplant ; 27(8): e14614, 2023 Dec.
Article em En | MEDLINE | ID: mdl-37807641
ABSTRACT

BACKGROUND:

We aimed to assess self-management skills and adherence behaviors in young people post-liver transplant and compare these with those of young people with autoimmune liver disease and other forms of chronic liver disease.

METHOD:

As part of our specialist multidisciplinary clinic, n = 156 young people (aged 16-25 years) completed the Liver Self-Management Questionnaire (an adaptation of the Developmentally Based Skills Checklist for adolescents post-liver transplant and modified for us across liver disease type and within the United Kingdom). Those taking medication (n = 128) also completed a service-designed questionnaire regarding adherence. The statistical significance of group differences was assessed with non-parametric analyses.

RESULTS:

Young people post-liver transplant were less likely to report managing their condition independently than those with autoimmune liver disease or those with other forms of chronic liver disease. They also reported higher adherence (93%) compared to those with autoimmune liver disease (77%) and those with other forms of chronic liver disease (85%). However, the vast majority of self-management and adherence behaviors were comparable between young people post-transplant and those with autoimmune liver disease/other forms of chronic liver disease.

CONCLUSION:

Our data are in line with existing data from US samples and also extend these findings to include those with other forms of chronic liver disease. These data highlight the importance of individualized care for young adults, regardless of condition type or healthcare setting, and of clinicians managing their expectations regarding what is considered appropriate condition management in early adulthood.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transplante de Fígado / Autogestão / Hepatopatias Limite: Adolescent / Adult / Humans País como assunto: Europa Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transplante de Fígado / Autogestão / Hepatopatias Limite: Adolescent / Adult / Humans País como assunto: Europa Idioma: En Ano de publicação: 2023 Tipo de documento: Article