Evaluation of Quality of Life among Kidney Transplant Patients- A Cross Sectional Study
Rashida Jabeen, Kousar Perveen, Muhammad Afzal, Sadia Khan
3087
ABSTRACT
Kidney transplantation is
the famous and most important choice of treatment of renal replacement
therapies (RRTs) because of its positive impact on morbidity, survival and cost.
The health related quality of life is becoming important outcome. Quality of
life is usually impaired in patients who have
renal transplant because of renal transplant patients have anxiety, lack of
social, physical and emotional support and diminished ability to take care of
themselves. The basic purpose of renal
transplantation is to achieve maximum quality of life with minimum side
effects.
Methods:
A cross
sectional study was conducted at Rukhsana
Akhtar Bahria International Orchard Hospital Lahore after approval from
institution board of university of Lahore. 36 patients were enrolled in study
by using purposive sampling technique. After taking informed consent all Kidney transplant patients aged between 18 years to 60
years, visited the post-transplantation OPD and continuously in follow-up
sessions were included in study. A validated and standard WHO
questionnaire of “Kidney Disease and Quality of Life (KDQOL-36™)” was used for
data collection. Data was entered and
analyzed in SPSS version.21.Chi-square test was applied to find out significant
association between qualitative variables. P -Value < 0.05will be
considered as statistically significant.
Results:
Majority of
patients were from 40-49 years 10(27.0%). Females were more as compared to men
(20(55.6) vs 16(44.4%)). 10(27.8) patients can read and write and 8(22.2%) have
done matriculation. More patients live in Urban area as compared to rural
area(19(52.8%) vs 17(47.2%)).8(22.2%) patients have less than 1 year of post
kidney transplantation time and 19(52.8%) have 1 to 3 years. All the seven domains of KDQOL show poor QOL. General Health, Physical
function and physical and emotional function shows average QOL and Emotional,
social, daily activities and overall KDQOL shows poor QOL. There was
insignificant association with age, gender, education; residential area and
Post kidney transplantation length of time (years)(p-value > 0.05).
Conclusions:
After renal transplantation
HRQOL becomes very important factor. After kidney transplantation HRQOL depends
on many factors. It was concluded from current study that the HRQOL was not as
good as it should be. Over the period of transplantation time patient’s quality
of life remain same. The society, government, family, and medical staff need to
support patients so they can also improve their QOL.
Key word: Renal Diseases, Kidney transplant, Quality of life, KDQOL-36