Begin typing your search above and press return to search.
Volume: 24 Issue: 6 June 2026

FULL TEXT

LETTER TO EDITOR

Self-Care Education as a New Pathway toward Improving Quality of Life in Patients Undergoing Kidney Transplant

Dear Editor:

End-stage renal disease is a significant worldwide health concern, and its progression is accompanied by several serious complications, including anemia, cardiovascular disease, and hyperlipidemia. Therefore, patients should undergo therapeutic methods such as hemodialysis and kidney transplantation to reduce complications, comorbidities, and mortality.1
Because of high costs and complications such as infection, long dependency on hemodialysis machine, and accompanying psychological problems, patients prefer kidney transplantation to dialysis.2 Never-theless, kidney transplant recipients also encounter negative issues, such as difficult drug regimen adherence and its side effects, tedious visits, infection probability, and fear of organ rejection and death from it, which affect the quality of life3 of transplant recipients as a valuable indicator of their health status.3
Quality of life is based on a patient’s sense of well-being, and quality of life is usually used as an important clinical index for the efficiency of medical treatments for patients.4 Therefore, improving quality of life helps the patient, not only in reducing their hospital stay and medical costs, but also in promoting their active lifestyle, self-esteem, and self-care capacity.5
Self-care education is a non-medical method that can be used to promote quality of life in patients undergoing kidney transplantation. Self-care educa-tion is an important part of all care plans that facilitates the process of a practice in which individuals use consciousness, knowledge, and ability to take care of themselves for the promotion of their economic and social situation and that of their families. It is very important to fulfill education based on educational priorities in society.6
Obstacles to education are lack of time at discharge time, communication barriers, volume of educational materials, interruptions to the training process and repetition of learning concepts, cultural differences, low adherence to self-care education, and psychological consequences of disease.7
Policymakers and health care administrators have a critical and multifaceted task of supporting self-care education as a new and vital pathway to significantly improve the quality of life of kidney transplant recipients.8 This task requires designing an educational framework and creating a supportive health care infrastructure through legislation and funding. In addition, policymakers and health care administrators should work on reimbursement methods for educational services, encourage health care systems to train staff, emphasize patient education in self-care, and promote research on effective interventions in this area.9
In general, it is important to equip patients with practical knowledge about complex medication adherence, thorough infection prevention, dietary management, and recognition of critical symptoms that indicate graft rejection or complications. Such knowledge will empower patients to become active partners in reducing avoidable complications and readmissions, maximizing transplant longevity, and, most importantly, regaining independence and self-confidence in their lives.


References:

  1. Francis A, Harhay MN, Ong ACM, et al; American Society of Nephrology; European Renal Association; International Society of Nephrology. Chronic kidney disease and the global public health agenda: an international consensus. Nat Rev Nephrol. 2024;20(7):473-485. doi:10.1038/s41581-024-00820-6
    CrossRef - PubMed
  2. Osthus TB, von der Lippe N, Ribu L, et al. Health-related quality of life and all-cause mortality in patients with diabetes on dialysis. BMC Nephrol. 2012;13:78. doi:10.1186/1471-2369-13-78
    CrossRef - PubMed
  3. Melilli E, Díaz MI, Gomis-Pastor M, et al. Predictors of treatment adherence in kidney transplant patients: a systematic review of the literature. J Clin Med. 2025;14(5):1622. doi:10.3390/jcm14051622
    CrossRef - PubMed
  4. Aghakhani N, Samadzadeh S, Mafi TM, Rahbar N. The impact of education on nutrition on the quality of life in patients on hemodialysis: a comparative study from teaching hospitals. Saudi J Kidney Dis Transpl. 2012; 23(1):26-30.
    CrossRef - PubMed
  5. Tian Y. A review on factors related to patient comfort experience in hospitals. J Health Popul Nutr. 2023; 42(1):125. doi:10.1186/s41043-023-00465-4
    CrossRef - PubMed
  6. Aghakhani N, Maslakpak MH, Jalali S, Parizad N. Self-care education program as a new pathway toward improving quality of life in kidney transplant patients: a single-blind, randomized, controlled trial. Exp Clin Transplant. 2021; 19(3):224-230. doi:10.6002/ect.2020.0044
    CrossRef - PubMed
  7. Gabriel ML, Chen L, Lee S, et al. Lessons learned about the education needs of kidney transplant recipients: a mixed-method study. Can J Kidney Health Dis. 2025;12. doi:10.1177/20543581251338462
    CrossRef - PubMed
  8. Kuttymuratov G, Saliev T, Ainakulov A, et al. Kidney and bladder transplantation: advances, barriers, and emerging solutions. Medicina (Kaunas). 2025;61(6):1045. doi:10.3390/medicina61061045
    CrossRef - PubMed
  9. Campbell ZC, Dawson JK, Kirkendall SM, et al. Interventions for improving health literacy in people with chronic kidney disease. Cochrane Database Syst Rev. 2022; 12(12):CD012026. doi:10.1002/14651858.CD012026.pub2
    CrossRef - PubMed


Volume : 24
Issue : 6
Pages : 503 - 504
DOI : 10.6002/ect.2025.0290


PDF VIEW [78] KB.
FULL PDF VIEW

From the Food and Beverages Safety Research Center, Food & Drug Vice Chancellor, Urmia University of Medical Sciences, Urmia, Iran
Acknowledgements: The author has not received any funding or grants in support of the presented research or for the preparation of this work and has no declarations of potential conflicts of interest.
Corresponding author: Nader Aghakhani, Food and Beverages Safety Research Center, Food & Drug Vice Chancellor, Shahid Dr. Gholipour Street, Initiation of Salmas Highway, Urmia University of Medical Sciences, Urmia, Iran
Phone: +98 44 32754916
E-mail: nader1453@umsu.ac.ir