Investigation of the effect of video-assisted training on symptom management in patients undergoing liver transplantation

The aim of this study was to investigate the effects of video-assisted training on symptom management in patients having liver transplantation. Data of the semi-experimental pre-test, post-test control group type study were collected from all patients who had liver transplantation for the first time between November 1, 2017 and May 31, 2018. When the confidence interval was calculated as 95% in the known sample, the number of patients to be included in the study was 60. Patients were divided into two groups as control (n=30) and experiment (n=30) randomly. The data were collected by the sociodemographic form and the MTSORD-58TR scale and by the researcher by face-to-face interview technique. Video-assisted training for symptom management was applied to the patients and the experimental group patients were given video-assisted training before and after the surgery. One month after discharge, symptom management score was examined when they came to the control. No intervention was applied to the control group. Symptoms and distress were measured sequentially-ordinally. The control group patients having liver transplantation were found to have statistically higher scores than the experimental group (U=319.000, p=0.053) and distress (U=313.000, p=0.043). The control group patients having liver transplantation were found to have statistically higher scores after the video training (U=166.000, p<0.001) and distress (U=174.5, p<0.001) than the experimental group. As a result, it is known that our video training and counseling service given to the experimental group reduced the symptoms in the scoring of the MTSORD-58TR scale and was effective in increasing the quality of life of the patients. It is recommended that new studies should be carried out in Turkey as it decreases the symptoms in MTSORD-58TR scale scoring.

Key words: Symptom management, liver transplantation, video training.