Physical activity long-term after liver transplantation yields better quality of life

Rongies, Witold; Stepniewska, Sylwia; Lewandowska, Monika; Smolis−Bąk, Edyta; Dolecki, Włodzimierz; Sierdziński, Janusz; Trzepla, Ewa; Cholewińska, Grażyna; Stankiewicz, Wanda

doi:10.12659/aot.882005

Cited by 22 publications

(22 citation statements)

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“…Physical activity levels were acceptable and contribute to better QOL (33,36,41,48,51). Greater involvement in social and physical activities is attributed to amelioration of physical symptoms, fatigue and worry related to CLD (43).…”

Section: Functional Statusmentioning

confidence: 99%

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Liver transplantation: a systematic review of long‐term quality of life

Yang

Shan

Saxena

et al. 2014

Liver International

168

136

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Background & Aims: Liver transplantation is the only curative intervention for terminal liver disease. Accurate long-term quality of life (QOL) data are required in the context of improved surgical outcomes and increasing posttransplant survival. This study reviews the long-term QOL after primary liver transplantation in adult patients surviving 5 or more years after surgery. Methods: A literature search was conducted on PubMed for all studies matching the eligibility criteria between January 2000 and October 2013. Bibliographies of included studies were also reviewed. Two authors independently performed screening of titles and abstracts. Consensus for studies included for review was achieved by discussion between authors based on predetermined eligibility criteria. Quality appraisal and data tabulation were performed using predetermined forms. Results were synthesized by narrative review. Results: Twenty-three studies (5402 patients) were included. QOL following liver transplantation remains superior to preoperative status up to 20 years post-operatively. More post-operative complications predicted worse QOL scores especially in physical domains. Benefits in functional domains persist long-term with independence in self-care and mobility. Employment rates recover in the short-term but decline after 5 years, and differ significantly between various aetiologies of liver disease. Overall QOL improves to a similar level as the general population, but physical function remains worse. Participation in post-operative physical activity is associated with superior QOL outcomes in liver transplant recipients compared to the general population. QOL improvements are similar compared to lung, kidney and heart transplantation. Heterogeneity between studies precluded quantitative analysis. Conclusions: Liver transplantation confers specific long-term QOL and functional benefits when compared to preoperative status. This information can assist in providing a more complete estimate of the overall health of liver transplant recipients and the effectiveness of surgery. Guidelines for future studies are provided.

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Section: Functional Statusmentioning

confidence: 99%

“…There were eight prospective studies (5,31,35,41,42,50,51,58) and 15 retrospective studies (32-34, 36-40, 43-45, 47-49, 52). Only three studies included patients' own preoperative QOL data (32,36,43).…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

Liver transplantation: a systematic review of long‐term quality of life

Yang

Shan

Saxena

et al. 2014

Liver International

168

136

View full text Add to dashboard Cite

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“…Findings indicate that exercise training may improve the functional status of recipients of ventricular assist devices (VAD), even long after implantation [6]. Moreover, better quality of life was observed in patients who were physically active after a liver transplant [7,8] clearly compiled several facts concerning physical activity, psychological well-being and WTG saying that "a regaining of physical strength, a return to the ability to compete successfully and for that success to be recognized by the award of a medal is clearly a very positive step. When, as in the World Games, there is the addition of the companionship of peers, the confidence of seeing and meeting hundreds of persons who have triumphed over similar adversity and the embracing warmth of belonging to a worldwide club a truly remarkable benefit becomes obvious to all those present.…”

Section: Introductionmentioning

confidence: 99%

Transplant Recipients' Experience of Participation at the World Transplant Games in Gothenburg 2011: A Study of Psychological Well-being

Johnson¹,

Hinic²,

Billström

et al. 2013

TOTRANSJ

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Abstract:The World Transplant Games (WTG) is a biennial worldwide sporting event. Most published research relating to WTG has focused on medical issues. However, few studies have examined factors such as psychological wellbeing in sport for this group. The purpose of this study is to provide a description of the English-speaking participants at the WTG and analyze five research questions linked to how (1) health, (2), satisfaction with sports participation (3), perceived competence, (4) health as a benefit of sport participation (5), and impaired health as a cost of sports participation, are related to psychological factors in sports. There were a total of 253 participants with a mean age of 43.6 years, originating from seven English-speaking nations. Four validated psychological questionnaires were used, as well as a screening of background data of the group. The main characteristics of the English-speaking population were university educated middle age men with kidney transplants, who had participated in athletics at a rather high competitive level before the transplant. The main statistical findings particularly showed that satisfaction with sport participation, perceived health and health as a benefit were the dependent variables that explained most of the variance in the analysis. In conclusion, perceived competence, enjoyment and health seem to be critical psychological factors that essentially act as prime motivating factors behind participation in games such as WTG, and ultimately lead to a sense of psychological well-being among the participants. Finally, there is a discussion of future research, as well as the practical value of the results.

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“…That reflects the effectiveness of health need management program on satisfying and decreasing needs of patients under study. In this respect, Rongies et al (2011) found that the majority of aspects of health-related quality of life (physical function, body problems, general health, social function, and emotional reaction) were significantly improved in patients who indicated they regularly engaged in educational intervention program.…”

Section: Comparisonmentioning

confidence: 97%

Health Needs Management Program and Compliance with Therapeutic Regimen among Postoperative Liver Transplant Recipients

Ebraheim

Barakat

2018

Egyptian Journal of Health Care

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Liver transplant recipients suffer from a chronic condition, which by itself entails risks and health problems, so they need to understand the transplantation process so as to change their living experience for better life post transplantation. The aim of this study was to The aim of this study was to assess the effect of health needs management program on liver transplant recipients' needs and their compliance to therapeutic regimen .Research design: A quasi experimental design was utilized to meet the aim of the study. Setting: The study was conducted in liver transplantation outpatient clinic at El Manial Cairo University hospital. Subjects: A purposive subjects of 40 patients post liver transplantation surgery from the liver transplantation outpatient clinic. Tools: A) Patient structured interviewing questionnaire to assess demographic characteristics among study subjects. B) Patients 'needs assessment tool to assess the following: 1. physical needs, 2. psychological needs, 3. social needs, 4. spiritual needs.5.educational needs C) Patients' compliance questionnaire. Results: there were statistically significant differences among study subjects between pre and post program implementation regarding physical, psychological, social and educational needs. Furthermore, there were highly statistically significant differences between pre and post program implementation phases regarding all items of compliance among study group subjects. Conclusion: this study concluded that health needs management program had a positive effect in improvement of overall physical, psychological, social and educational needs of the recipient a well as their compliance to the therapeutic regime post program implementation. Recommendation: Health care providers specially nurses should develop time specific education programs based on liver transplant recipients' educational needs at different post transplant times to maintain patients' compliance .

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Physical activity long-term after liver transplantation yields better quality of life

Cited by 22 publications

References 0 publications

Liver transplantation: a systematic review of long‐term quality of life

Liver transplantation: a systematic review of long‐term quality of life

Transplant Recipients' Experience of Participation at the World Transplant Games in Gothenburg 2011: A Study of Psychological Well-being

Health Needs Management Program and Compliance with Therapeutic Regimen among Postoperative Liver Transplant Recipients

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