Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Health Related Quality of Life among Organ Transplant Recipients

장기이식환자의 건강관련 삶의 질

  • Published : 2003.06.01
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Abstract

Purpose: This study was aimed to investigate the health related quality of life and related factors of organ transplant recipients. Method: The participants were 188 people who had liver(86), kidney(81), or heart(24) transplanted. Data on the demographic characteristics, transplantation-related characteristics, symptom frequency or discomfort measured by Transplant Symptom Frequency and Symptom Distress Scale by Lough et al(l987), and health related quality of life measured by SF-36(version 2) were collected. Result: Overall health related quality of life score was 492.1 for 100scoring and, 344.9 for norm based. Physical functioning showed the highest quality of life score (77.5) and vitality showed the lowest(51.l). The kidney transplanted showed the highest quality of life (504.4) and the heart transplanted showed the lowest(426.7) Quality of life was related with occupation(p=.016) and symtom discomfort(p < .0001). Conclusion: The health related quality of life of transplated patients was lower than the norm of American. Further studies need to be done to identify the norm of Korean and to investigate the effect of releving symptom discomfort on the increasing the health related quality of life.

Keywords

References

  1. Belza, B. L., Henke, C. J., Yelin, E. H., Epstein, W, Y., & Gilliss, C. L. (1993). Correlates of fatigue in older adults with rhumatoid arthritis. Nurs Res, 42(2), 93-99
  2. Bush, W. (1999), Overview of Transplantation Immunology and the Phannacotherapy of Adult Solid Organ Transplant Recipients : Focus on Immunosuppression. AACN Clinical Issues, 10(2), 253-269 https://doi.org/10.1097/00044067-199905000-00011
  3. Caccamo, L., Azara, Y., Doglia, M., Sessini, M., Rossi, G., Gala, c., Fassati, L.R. (2001). Longitudinal prospective measurement of the quality of life before and after liver transplantation among adults. Transplant Proc 33(1-2), 1880-1881
  4. De-Nour, A. K., & Shanan, J. (1980). Quality of life of dialysis and transplanted patients. Nephron, 25(3), 117-120
  5. Denton, M. D., Magee, C. C, & Sayegh, M. H. (1999). Immunosuppressive strategies in transplantation. Lancet, 353(9158), 1083-1091
  6. Evans, S. W., Menninen, D. L., Garrison, L. P., & Hart, L. G. (1985). The Quality of life of patients with ESRD. N Engl J Med, 312(9), 553-559
  7. Ferrell, B. R., Wisdom, C., & Wenzl, C. (1989). Quality of life as an outcome variable in the management of cancer pain. Cancer, 63, 2321-2327 https://doi.org/10.1002/1097-0142(19890601)63:11<2321::AID-CNCR2820631142>3.0.CO;2-T
  8. Han, Y. B., Ro, Y. J., Kim, N. C., & Kim, H. S. (1990). Quality of life of middle-aged persons who have cancer. J Kor Acad Nurs, 20(3),.399-423
  9. Hummel, M., Michauk, J., Hetzer, R., & Fuhrmann, B. (2001). Quality of life after heart and heart-lung transplantation. Transplant Proceed, 33, 3546-3548 https://doi.org/10.1016/S0041-1345(01)02427-7
  10. Ichikawa, Y., Fujisawa, E., Hirose, E., Kageyama, T., Miyamoto, Y., Sakai, Y., Mori, F., Isotani, S., Yazawa, K., Hanafusa, T., Fujikubo, M., Fukunishi, S., & Nagano, S. (2000). Quality of life in kidney transplant patients. Transplant Proceed, 32, 1815-1816 https://doi.org/10.1016/S0041-1345(00)01360-9
  11. Kim, K. S., Kang, J. H., Ha, H. S., Rho, M. H., Park, K. W., & Hong, J. J. (2002). The symptom experience associated with immunosuppressive therapy in organ transplant recipients. J Korean Soc Transplant(in press)
  12. Kim, S. T., Ha, H. W., & Ahn, S. H. (1990). Analysis of the factors affecting the sruvival of renal transplantation. J Korean Surg Soc, 39(1), 103-120
  13. Kim, Y, S. (1998). Organ Transplantation-Principle and Practice. Seoul : Hyunmoon Publishing
  14. KONOS Year Book. (2000). http://www.konos.go.kr/
  15. Lough, M., Lindsey, A., Shinne, J., & Stotts, N. (1985). Life satisfaction following heart transplantation. Heart & Lung, 4, 446-449
  16. Manu, M. A., Radulescu, S., Harza, M., Manu, R., Capsa, D., & Sinescu, I. (2001). Quality of life assessed by SF-36 Health Survey in renal transplant patients. Transplant Proceed, 33, 1927-1928 https://doi.org/10.1016/S0041-1345(00)02715-9
  17. McHorney, C., Ware, J., Lu, J. F., & Sherbourne, C, D. (1994). The MOS 36-item short form health survey(SF-36) : Ill. Test of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care, 32, 40-66 https://doi.org/10.1097/00005650-199401000-00004
  18. Oh, P. J. (1998). The meaning of quality of life for bone marrow transplant survivors. J Korean Acad Nurs, 28(3), 760-772
  19. Ohkohchi, N., Orii, T., Kawagishi, M., & Satomi, S. (2001). Quality of life of pediatric patients receiving living donor liver transplantation in long-term follow-up period. Transplant Proceed, 33, 3610-3613 https://doi.org/10.1016/S0041-1345(01)02554-4
  20. Olausson, B., Hansson, S., Wennerstrom, M., Slausson, M., Friman, S. (2001). Quality of life after pediatric kidney transplantation : A single-center experience. Transplant Proceed, 33, 2446-2448 https://doi.org/10.1016/S0041-1345(01)02040-1
  21. Sigmon, H. D., Grady, P. A. (2001). Quality of life for transplantation patients: National Institute of Nursing Research Spring Science Work Group. Heart Lung, 30(1),5-8
  22. Streiff, N., Feurer, J., Speroff, T., Davis, S, F., Butler, J., Chomsky, D., Donaldson, T., Webb, J., & Merrill, W. H. (2001). The effects of rejection episodes, obesity, and osteopenia on functional performance and health-related quality of' life after heart transplantation. Transplant Proceed, 33, 3533-3535 https://doi.org/10.1016/S0041-1345(01)02424-1
  23. Testa, M., & Simonson, D. (1996). Assessment of Quality-ofLife Outcomes. N Eng J Med, 334, 35-40
  24. Ware, J. E., Kosinski, M., & Dewey, J. E. (2000). How to Score Version Two of the $SF-36{\(R)}$ Health Survey (Standard & Aucte Forms). 3rd. Lincoln, RI : Quality Metric Incorporated
  25. Wenger, N. K., Mattson, M. E., Furberg, C. D., & Elinson, J. (1984). Assessment of quality of life in clinical trials of cardiovascular therapies. Am J Cardiol. 54, 908-913 https://doi.org/10.1016/S0002-9149(84)80232-5