Stress Perception, Social Support, and Health Status in Chinese Families of Liver Transplant Patients

Tuesday, 23 July 2013: 11:25 AM

Ru-Hwa Wang, RN, DNS
Department of Education and Research, Cardinal Tien Hospital, New Taipei City 231,, Taiwan

Learning Objective 1: The learner will able to assess the actual and potential problems in bio-psycho-social aspects of patients with organ transplant and their family.

Learning Objective 2: The learner will able to provide the best quality care/holistic care for cancer patients and their family with complex needs.

Cancer is the top one cause of death in Taiwan over the past three decades.  Advances in the treatment altered patient’s outcomes, however, very little is known about how liver transplant affects families and what can be done to help families adjust to this stressful life event.

Purpose: This study aimed to explore the relationships among stress perceptions, social support, and health status in families of liver transplant patients.

Methods: Thirty-eight Chinese families of liver transplant patients were purposely selected from Northern Taiwan and completed three questionnaires: Family Stress Perception Scale, Norbeck Social Support questionnaire, and Chinese Health Status questionnaire.

Results: Descriptive and inferential statistical analysis of the data revealed a significant difference in family stressors of patient’s sign and symptoms, family care knowledge inadequacy, and changes in family social activity.  Families in this study received more emotional but less aids support.  Findings further showed family’s social support was significantly negatively correlated with the patient discharge duration.  While patient being at home, patient’s gender was significantly associated with family’s health status.

Conclusion: The nursing implication is that the further explication of effect of multidisciplinary health care team on family group or on individualized family conference to provide comprehensive care to alleviate family stress, and a longitudinal study are needed to follow up the stress perception, social support, and health status over time on family and patients, as well as their recovery.