Factors associated with health-related quality of life in kidney transplant recipients in Korea

Health-related quality of life (HRQOL) of kidney transplant recipients is an outcome evaluation after kidney transplants. Therefore, we investigated the associations among perceived health status, social support, self-determination, post-traumatic growth, and kidney transplant recipients’ HRQOL. This study involved a descriptive, self-report survey of 163 kidney transplant recipients visiting an outpatient solid organ transplant center in South Korea. Participants’ general and transplant characteristics, perceived health status, post-traumatic growth, social support, self-determination, and HRQOL were collected. Data were statistically analyzed using the software SPSS version 25.0. HRQOL showed statistically significant positive correlation with perceived health status (r = .56, p < .001), post-traumatic growth (r = .18, p = .022), social support (r = .25, p = .002), and self-determination (r = .36, p < .001). The factors affecting HRQOL were perceived health status (β = 0.47, p < 0.001), post-transplant occupation (β = 0.17, p = 0.009), and income source (β = -0.13, p = 0.046). The explanatory power of these variables was 34.8% (F = 28.81, p < 0.001). In the subdomains of HRQOL, the factors influencing HRQOL of mental component summary were perceived health status (β = 0.45, p < 0.001), self-determination (β = 0.27, p < 0.001), and education level (β = 0.18, p = 0.006). The explanatory power of these variables was 34.8% (F = 28.81, p < 0.001). To promote the HRQOL of kidney transplant recipients, an institutional system to assist kidney transplant recipients in returning to work needs to be developed. Additionally, creating an environment that allows kidney transplant recipients to act with self-determination, and developing intervention programs that can enhance self-determination will contribute to enhancing the HRQOL of kidney transplant recipients.

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The Effect of New Nurses" Post-Traumatic Growth, Social Support, Job Stress, and Perceived Health Status on Hope

Journal of the Korean society for Wellness ◽

10.21097/ksw.2021.02.16.1.26 ◽

2021 ◽

Vol 16 (1) ◽

pp. 26-31

Author(s):

Seung-Hee Lee

Keyword(s):

Social Support ◽

Health Status ◽

Job Stress ◽

Perceived Health ◽

Perceived Health Status ◽

New Nurses ◽

Post Traumatic Growth ◽

Post Traumatic

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Differences in perceived health status between kidney transplant recipients and dialyzed patients are based mainly on the selection process

Clinical Transplantation ◽

10.1111/j.1399-0012.2009.01080.x ◽

2009 ◽

Vol 24 (3) ◽

pp. 358-365 ◽

Cited By ~ 9

Author(s):

Jaroslav Rosenberger ◽

Jitse P. Van Dijk ◽

Lucia Prihodova ◽

Maria Majernikova ◽

Iveta Nagyova ◽

...

Keyword(s):

Health Status ◽

Kidney Transplant ◽

Selection Process ◽

Perceived Health ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Perceived Health Status

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SP716DEMORALIZATION AND POST TRAUMATIC GROWTH IN KIDNEY TRANSPLANT RECIPIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfy104.sp716 ◽

2018 ◽

Vol 33 (suppl_1) ◽

pp. i587-i588

Author(s):

Yuri Battaglia ◽

Giulia Piazza ◽

Elena Martino ◽

Sara Massarenti ◽

Luana Peron ◽

...

Keyword(s):

Kidney Transplant ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Post Traumatic Growth ◽

Post Traumatic

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Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis

Journal of Clinical Medicine ◽

10.3390/jcm10204747 ◽

2021 ◽

Vol 10 (20) ◽

pp. 4747

Author(s):

Yuri Battaglia ◽

Luigi Zerbinati ◽

Martino Belvederi Murri ◽

Michele Provenzano ◽

Pasquale Esposito ◽

...

Keyword(s):

Network Analysis ◽

Kidney Transplant ◽

Immunosuppressive Agents ◽

Assessment System ◽

Stressful Event ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Emotional Symptoms ◽

Post Traumatic Growth ◽

Post Traumatic

Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect of this stressful event in KTRs. Thus, the purpose of our study was to assess the level of PTG and its correlation with demoralization, physical and emotional symptoms or problems via network analysis in KTRs. Additionally, we aimed at exploring the association of PTG with psychiatric diagnoses, Diagnostic Criteria for Psychosomatic Research (DCPR) conditions, and medical variables. A total of 134 KTRs were tested using MINI International Neuropsychiatric Interview 6.0 (MINI 6.0), DCPR interview, PTGI, Edmonton Symptom Assessment System (ESAS), Canadian Problem Checklist (CPC) and Demoralization scale (DS-IT). PTGI was used to investigate the positive psychological experience of patients after KT. It consists of 21 items divided in five factors. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. A symptom network analysis was conducted among PTGI, ESAS and DS-IT. Mean score of PTGI total of sample was 52.81 ± 19.81 with higher scores in women (58.53 ± 21.57) than in men (50.04 ± 18.39) (p < 0.05). PTGI-Relating to Others (16.50 ± 7.99) sub-score was markedly higher than other PTGI factor sub-scores. KTRs with DCPR-alexithymia or International Classification of Diseases, tenth revision (ICD-10) anxiety disorders diagnosis had lower PTGI total score and higher PTGI-Personal Strength sub-score, respectively (p < 0.05). The network analysis identified two communities: PTGI and ESAS with DS-IT. DS-IT Disheartenment, DS-IT Hopelessness and PTGI Relating to Others were the most central items in the network. After 1000 bootstrap procedures, the Exploratory graph analysis revealed the presence of a median of two communities in the network in 97.5% of the bootstrap iterations. A more extensive use of PTGI should be encouraged to identify and enhance the positive psychological changes after KT.

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MO946THE LEVEL OF POST-TRAUMATIC GROWTH IN KIDNEY TRANSPLANT RECIPIENTS WITH LONG TERM DURATION OF GRAFT

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab110.0025 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Yuri Battaglia ◽

Luigi Zerbinati ◽

Michele Provenzano ◽

Pasquale Esposito ◽

Michele Andreucci ◽

...

Keyword(s):

Kidney Transplant ◽

Interpersonal Relationships ◽

Traumatic Event ◽

Psychological Trauma ◽

Stress Disorders ◽

Self Report ◽

Psychiatric Diagnoses ◽

Kidney Transplant Recipients ◽

Post Traumatic Growth ◽

Post Traumatic

Abstract Background and Aims Kidney transplant (KT)can cause a psychological trauma due to changes in self-perception, in interpersonal relationships, and in the philosophy of life. However, the exposure to this traumatic event might lead to not only stress disorders but also positive growth. Primary aim of study was to evaluate the prevalence of post-traumatic growth (PTG)in KTRs. Secondary aim was to explore any association between PTG and psychiatric, psychosocial and medical variables, specifically psychiatric diagnoses, demoralization, as well as physical and general problems or symptoms. Method KTRs followed up in a single nephrology Unit, were evaluated. Each patient was individually administered MINI International Neuropsychiatric Interview 6.0. and DCPR interview to evaluate ICD-10 psychiatric diagnoses and DCPR diagnoses. PTG Inventory (PTGI), ESAS-revised, CPC, and DS-IT were given as self-report instruments to be filled in. PTGI was used to investigate positive psychological experience of patients after KT on a 0 to 5-point Likert scale(0=I did not experience this change as a result of my KT;5=I experienced this change to a very great degree as a result of my KT).It consists of 21 items divided in five factors: New Possibilities(NP),Relating to Others(RO),Personal Strength(PS),Spiritual Change(SC),and Appreciation of Life(AL).ESAS-revised, DS-IT and CPC were used to examine the severity of physical and psychological symptoms on a 0 to 10 scale; to measure the severity of demoralization on a 0 to 4 scale and to evaluate the physical and general problems in a yes/no(0–1)format, respectively. Results Data pertaining to 134 out of 143 consecutive outpatients were collected. Clinical characteristics of sample and ranking order of ICD and DCPR diagnoses are shown in Tab.1.Mean score of PTGI total of sample was 52.02 (±20.69).SC(4.26±2.94)experience was markedly lower than RO(16.26±8.18),NP(11.25±5.56),PS(10.91±5.33)and AL(9.77±3.72).PS changes were higher in KTRs with adaption ICD diagnosis(p<0.001);while no SC change was found in KTRs with an ICD diagnosis of mood disorders(p<0.01).DCPR diagnosis of alexithymia and Irritability were associated with low RO score(13.74±6.51 and 13.97±6.95,respectively)(p <0.05).AL subscale was positively correlated with ESAS anxiety symptom and ESAS psychological distress sub-score(p<0.05); and negatively with DS-lT loss of meaning and purpose subscale(p<0.05).Women(57.2±23.07)had higher scores of PTGI than men (49.5±19.04)(p <0.05).No significant correlation was found between CPC problems, blood chemistry and socio-demographic characteristics, including months after transplant. Conclusion This study shows that KTRs had moderate-to-high levels of PTG which did not change after KT overtime. Also, lower RO score was associated with DCPR diagnosis of alexithymia, highlighting the potential ability of PTGI to identify KTRs who need psychological support. Further multicentre studies should be conducted to investigate the positive psychological changes after KT.

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