Effect of patient coping preferences on quality of life following renal transplantation

White, Ciara

doi:10.1111/j.1365-2648.2010.05410.x

Cited by 26 publications

(19 citation statements)

References 35 publications

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“…Of all KTRs, 39% [95% confidence interval (CI) [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] were severely fatigued. This percentage was significantly higher than in the matched control group (22%, 95% CI 16-28, P = 0.001).…”

Section: Prevalence and Impact Of Severe Fatiguementioning

confidence: 99%

Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom

et al. 2013

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SummaryFatigue is a common symptom of patients with chronic kidney disease, but seldom investigated after transplantation. We determined the prevalence, impact and related factors of severe fatigue in kidney transplant recipients (KTRs). Medical records and questionnaires were used to assess kidney function, donor characteristics, fatigue (Checklist Individual Strength), functional impairments (Sickness Impact Profile), work status, body mass index (BMI), pain, depressive symptoms, social support and sleeping problems in 180 participating KTRs. KTRs were compared with sex-and age-matched population-based controls. KTRs were significantly more often severely fatigued (39%) compared to matched controls (22%; P = 0.001). Severely fatigued KTRs had significantly more functional impairments than nonseverely fatigued recipients (effect size ≥ 0.7) P < 0.001, and less often a paid job (27% vs. 48%, P = 0.005). Univariate analysis showed that severely fatigued KTRs received more often a kidney from a deceased donor, had a higher BMI, more pain, discrepancy in social support, depressive symptoms and sleeping problems. In a multivariate analysis (n = 151) the latter two associations remained significant. Severe fatigue is a highly prevalent and disabling symptom in KTRs. Moreover, severe fatigue after kidney transplantation is more strongly related to behavioural and psychosocial factors than specific transplantation-related factors. Findings have implications for fatigue management.

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Section: Prevalence and Impact Of Severe Fatiguementioning

confidence: 99%

Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom

et al. 2013

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“…The patients who can actively influence their own treatment perceive the quality of life as better than the patients who are passive [4,30].…”

Section: Discussionmentioning

confidence: 99%

The changes in quality of life during the first year after the renal transplantation: The influence of physical activity and nutrition

Strejcová¹,

Mahrová²,

Švagrová³

et al. 2014

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a b s t r a c t The aim of the study was to define the positive effect of physical activity and nutrition on the health related quality of life in renal transplant patients in the first year following the surgery. Interestingly, the results showed that the quality of life evaluated by SF-36 of physically active renal transplant patients reached or even overreached the values of healthy individuals. We assessed the influence of intervention (physical activity, nutrition or both) on the health related quality of life. The health related quality of life was evaluated using standardized questionnaire KDQOL-SF TM (part of the generic questionnaire SF-36), and in the period one month before transplantation (patients filled the questionnaire retrospectively during their hospitalization in the first 14 days after the surgery) and approximately 10 months after the transplantation. There were 103 patients in this study (45 females, 58 males) of the age in the range 23-75 years with the average 54.7 years (AE12 years). In the period when the patient was physically active or had special nutritive therapy (9.5 months after the renal transplantation) the quality of life evaluated using SF-36 (n = 94) statistically significantly improved in all domains except for physical activity (Wilcoxon test, p < 0.05) that was lower than the values of healthy individuals in the Czech Republic. The results did not show any statistically significant difference among the items of the life quality and type of intervention done (ANOVA, p < 0.05). Also the testing of the differences among particular types of intervention with regard to the evaluation of the quality of life did not show any statistically significant changes.There is a positive impact of physical activity on the quality of life of the renal transplant patients. It seems to be the most effective tool improving the quality of life, when physical activity is combined with nutrition therapy.

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“…This finding is in contrast to that of a previous study, which did not find any significant relation between creatinine level and quality of life parameters. 28 Immuno suppressive therapy is an essential part of management of kidney transplant recipients. In addition to the economic burden on patients, immunosuppressant therapy is often associated with severe adverse effects.…”

Section: Discussionmentioning

confidence: 99%

“…Giara and associates also reported that avoidance coping strategies may adversely affect both physical and psychological health of kidney transplant recipients. 28 The present study underlines the importance of identifying transplant recipients with negative coping strategies, as these could significantly impair their capacity to handle their illness and treatment appropriately. Furthermore, our findings indicate the importance of individualized counseling programs conducted by care providers of transplant recipients, in order that these patients develop appropriate coping mechanisms.…”

Section: Wenxin Zhang Et Al/experimental and Clinical Transplantationmentioning

confidence: 99%

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Zhang

Shi²,

Shi³

et al. 2017

Exp Clin Transplant

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Objectives: Our objective was to explore factors influencing health-related quality of life in livingdonor kidney transplant recipients. Materials and Methods: A total of 140 kidney transplant recipients, enrolled between December 2014 and April 2015, were administered questionnaires on medical outcomes, 36-item Short Form Health Survey, medical coping modes, cognitive appraisal of health scale, and adverse effects of medications. Path analysis was employed to verify the hypothesized model. Results: Increased serum creatinine level and high economic burden had direct positive effects on negative appraisal (β = 0.18, P < .05 and β = 0.46, P < .01). Adverse effects of medication had direct positive effects on confrontation; whereas negative appraisal had direct positive effect on acceptance-resignation (β = 0.21, P < .05) and direct negative effect on physical component summary (β = -0.43, P < .001) and mental component summary (β = -0.51, P < .001). In addition, confrontation directly affected mental component summary (β = -0.15, P < .05). The enrolled variables accounted for 25.0% of physical component summary variance and 35.4% of mental component summary variance. Conclusions: In this study, economic burden, serum creatinine levels, and adverse effects of immunosuppressive therapy were the key external factors, whereas patients' cognitive appraisal and coping strategies were the main internal factors affecting patients' health-related quality of life. Medical care providers attending to transplant recipients should be able to identify patients developing negative coping strategies in response to stressors and plan individualized counseling programs for these patients.

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Effect of patient coping preferences on quality of life following renal transplantation

Abstract: Assessment of coping strategies among the transplant population should be further explored in clinical practice, and steps employed to promote the use of positive coping strategies in order to maximize quality of life after transplant.

Cited by 26 publications

References 35 publications

Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom

Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom

The changes in quality of life during the first year after the renal transplantation: The influence of physical activity and nutrition

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