ORIGINAL ARTICLE
The impact of therapeutic education on the readiness for discharge of patients after kidney and liver transplantation
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Department of Surgical and Transplantation Nursing and Extracorporeal Therapies, Medical University of Warsaw, Poland
Submission date: 2025-10-03
Final revision date: 2026-02-14
Acceptance date: 2026-02-16
Online publication date: 2026-10-19
Corresponding author
Marta K. Hreńczuk
Department of Surgical and Transplantation Nursing and Extracorporeal Therapies, Medical University of Warsaw, Poland
KEYWORDS
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ABSTRACT
Introduction:
Kidney and liver transplantation are life saving procedures, but long term outcomes depend on the recipients’ ability to perform effective self care. Patient education is a fundamental component of discharge preparation and post transplant management.
Aim of the research:
The study aimed to assess the impact of therapeutic education on discharge readiness among kidney and liver transplant recipients and to identify practical recommendations for educational programs.
Material and methods:
The study included 117 adult recipients (31.6% liver, 68.4% kidney) transplanted in several Polish transplant centres between February and May 2025. A diagnostic survey was conducted using a discharge readiness questionnaire from the C HOBIC set supplemented with questions regarding patient characteristics, educational processes, and educators. Data were analysed statistically using IBM SPSS Statistics (v. 28).
Results:
Therapeutic education delivered before and after transplantation significantly improved patients’ readiness for discharge. Education provided by physicians, nurses, transplant coordinators, and dietitians had a positive effect on overall readiness and patient knowledge in key areas including pharmacotherapy, symptom recognition, emergency management, and self care. Education delivered by psychologists showed no significant impact. Among self education strategies, only reading medical literature was significantly associated with improved preparation for following recommendations and undertaking daily physical activity.
Conclusions:
Therapeutic education delivered by an interdisciplinary care team plays a crucial role in preparing transplant recipients for discharge. Effective educational programs should be structured across multiple stages of care, tailored to patient needs, and reinforced by targeted self education activities to support long term adherence and self management competence.
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