Assessment of physical performance and quality of life in kidney-transplanted patients: a cross-sectional study

Abstract

BackgroundInformation on physical and mental wellness in renal transplantation is limited. Therefore, we performed a cross-sectional study to evaluate and describe the different components of physical performance and quality of life (QoL) in a cohort of kidney-transplanted patients.MethodsPhysical performance and QoL were determined through the administration of validated tests and questionnaires [muscle strength, dynamometer handgrip, tactile sensitivity, visual analogue scale (VAS) for pain, Timed Up and Go (TUG) test, Fatigue Severity Scale (FSS) and the 36-item Short Form Health Survey]. The patients were divided into three groups based on time elapsed since transplantation: early (in the first 6 months), middle (from 7 to 60 months) and late (>60 months).ResultsOf 132 enrolled patients, 11 patients (8.3%) presented a severe reduction of muscle strength, 63 patients (47%) had significant bilateral impaired handgrip and tactile sensitivity was altered in 23 patients (17.4%). TUG assessment showed significant mobility limitation in 29 patients (21.9%). The FSS presented a pathological value in 50 patients (37.3%), while the mean VAS was 1.8 ± 2.7. There were no significant differences in physical performance parameters among the three patient groups. There were inverse correlations among different components of physical performance and age, comorbidity and dialysis vintage, and there was a direct correlation with renal function. During the first months after transplantation there were limitations in physical, social and emotional activities. Overall, the self-perceived physical performance was significantly lower in transplanted patients with respect to the normal reference level.ConclusionKidney-transplanted patients may present different degrees of impairment in physical performance and quality of life. Systematic functional assessment is essential to identify patients needing intensive and personalized rehabilitation programmes.

Gender disparity among renal transplant recipients receiving immunosuppressive therapy

“…[31] Furthermore, Renal transplant is the best therapeutic anticipation for uraemic patients and has been associated with a major improvement in QoL, lessening in pain, and a general increase in functional capacities. [22] The current study findings concluded that the health-related quality of life is generally enhanced after renal transplantation which is incongruence with most of the other Published by Sciedu Press related studies. [4,32] On the other hand, when comparing with gender the current results showed the majority of the recipients that reported a best and good quality of life were men while the minority were female.…”

“…In addition to its multidimensional character, one important motive to measure the HRQOL is establishing and increasing information about the range of harms that affect the patients. [21][22][23] HRQOL dimensions have become an essential outcome measures in addition to morbidity and mortality rates, in both people health assessment and in experimental trials. Nurses have an exclusive function and must take proficient accountability in assessing and helping renal transplant patients and their families discover how to deal with events efficiently and to accomplish the maximum level of HRQOL.…”

Significance of serum Myostatin in hemodialysis patients

“…All functional assessments were conducted by two trained assessors before the beginning of the HD session, in a quiet environment, using a standardized protocol, and included the dynamometer handgrip strength (HGS), the 6 min walking test (6MWT) and the Fatigue Severity Scale (FSS) [19]. The HGS was measured on the non-fistula arm using a Jamar hand dynamometer, considering the highest HGS value after three trials (with a one-minute pause between trials) [20].…”

Böbrek Nakli Yapılan Hastaların Psikososyal Deneyimleri: Nitel Bir Araştırma

“…Literatürde nakilden sonra hastaların, özellikle kişisel özelliklerinin, beden algılarının, öz bakımlarının, otonomilerinin, aile ve sosyal ilişkilerinin olumlu etkilenmesi, duygusal sıkıntılarının ve anksiyetelerinin azalmasından memnun oldukları bildirilmektedir (Esposito 2016). Benzer şekilde bu çalışmada da katılımcıların çoğu nakil olmaktan mutluluk duyduklarını belirttiler.…”