Knowledge, Anxiety, and Compliance with Preventive Behavior of Middle East Respiratory Syndrome (MERS) in Liver Transplant Patients

Ji Seon Yun; Jeong Hye Kim; Sae Rom Im

doi:10.4285/jkstn.2017.31.3.117

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Yun, Kim, and Im: Knowledge, Anxiety, and Compliance with Preventive Behavior of Middle East Respiratory Syndrome (MERS) in Liver Transplant Patients

Original Article

The Journal of the Korean Society for Transplantation 2017; 31(3): 117-125.

Published online: 30 September 2017

DOI: https://doi.org/10.4285/jkstn.2017.31.3.117

Knowledge, Anxiety, and Compliance with Preventive Behavior of Middle East Respiratory Syndrome (MERS) in Liver Transplant Patients

Ji Seon Yun, R.N.¹, Jeong Hye Kim, R.N.², Sae Rom Im, R.N.¹

¹Department of Nursing, Asan Medical Center, Seoul, Korea.

²Department of Clinical Nursing, University of Ulsan, Seoul, Korea.

Corresponding author: Jeong Hye Kim. Department of Clinical Nursing, University of Ulsan, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. Tel: 82-2-3010-5335, Fax: 82-2-3010-5332, kimjh@amc.seoul.kr

Received 3 April 2017 Revised 8 August 2017 Accepted 12 August 2017

The Korean Society for Transplantation

Abstract

Background

This study was conducted to investigate the knowledge, anxiety and compliance with preventive behavior of Middle East respiratory syndrome (MERS) in liver transplant patients.

Methods

The participants in the study were 100 liver transplant patients at an outpatient clinic. The data were collected from May 20, 2016, to June 20, 2016.

Results

The knowledge score was 6.37±1.73 (range; 1~10) and the correct answer rate was 63.7%. The state anxiety score was 41.35±10.08 (range; 20~68) and the trait anxiety score was 39.60±8.85 (range; 22~59). The compliance with preventive behavior score was 35.70±5.23 (range; 21~45). Anxiety differed significantly according to education level (P=0.040) and occupation status (P=0.047). Compliance with preventive behavior differed significantly according to period after surgery (P=0.035). Compliance with preventive behavior and state anxiety (P=0.007) and trait anxiety (P<0.001) were negatively related. The factor that had the greatest effect on compliance with preventive behavior was trait anxiety (P=0.003).

Conclusions

The epidemic of the MERS has already been completed and none of the subjects of this study has been infected with the MERS; however, patients with liver transplantation always have a risk of various opportunistic infections. If new infectious diseases such as MERS occur in the future, increased anxiety may decrease the practice of prevention. Therefore, anxiety experienced by liver transplant patients should be managed.

Keywords: Liver transplantation, Coronavirus infections, Knowledge, Anxiety, Preventive behavior

Figures and Tables

Table 1

Knowledge, anxiety, and compliance with preventive behavior according to characteristics of participants (n=100)

Abbreviation: SD, standard deviation.

^aAverage age 53.1±9.0; ^bWelch test; ^cBelow Middle school>College degree or higher (post hoc=Scheffe); ^dMean postoperative period 4.02±4.85.

Table 2

Knowledge, anxiety, and compliance with preventive behavior to the Middle East Respiratory Syndrome (MERS) (n=100)

Abbreviation: SD, standard deviation.

^aPercentage of correct answers: 63.7%.

Table 3

Correlation among knowledge, anxiety, and compliance with preventive behavior (n=100)

^aSpearman's rho.

Table 4

Factors of compliance with preventive behavior (n=100)

Adjusted R²=0.133.

Abbreviation: SE, standard error.

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