pISSN 2671-8790 eISSN 2671-8804


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Korean J Transplant 2022; 36(1): 37-44

Published online March 31, 2022


© The Korean Society for Transplantation

Factors influencing the self-management of kidney transplant patients based on self-determination theory: a cross-sectional study

Mi Kyung Sim1,* , Sun Young Son2,* , Man Ki Ju2

1Department of Nursing Science, Shinsung University, Dangjin, Korea
2Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Correspondence to: Man Ki Ju
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eongu-ro, Gangnam-gu, Seoul 06273, Korea
Tel: +82-2-2019-3893
Fax: +82-2-2019-4827
E-mail: mkju@yuhs.ac
*These authors contributed equally to this work.

Received: January 21, 2022; Revised: February 21, 2022; Accepted: March 3, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background: Self-determination theory is useful for explaining how kidney transplant recipients self-manage their postoperative health, including drug regimens, but few studies have applied this theory to transplant recipients. This study aimed to examine the influence of health professionals’ autonomy support, autonomous motivation and competence on kidney transplant patients’ self-management based on the self-determination theory.
Methods: This study included 79 kidney transplant patients from one outpatient clinic in a general hospital in Seoul, Korea. Data on the health professionals’ support of patient autonomy and the kidney transplant patients’ autonomous motivation, competence, and self-management were collected from self-report questionnaires.
Results: The factors that influenced self-management behavior in kidney transplant patients were competence (β=0.377, P=0.001) and autonomous motivation (β=0.293, P=0.006). The explanatory power of these variables was 30.1%.
Conclusions: This study found that autonomous motivation and competence in kidney transplant patients affected their self-management, indicating that if healthcare professionals enhance patients’ competence and autonomous motivation, their self-management can be improved. The development of intervention programs that assist healthcare professionals in strengthening patients’ autonomous motivation and competence is recommended.

Keywords: Self-management, Kidney transplantation, Self-determination

  • To maintain health, it is important for transplant patients to perform continuous self-management after transplantation.

  • Self-determination theory is useful for explaining the factors affecting the self-management of transplant recipients.