The Assessment of The Quality of Life in Kidney Transplant Recipients in Ahvaz, Iran

Document Type : Original Research

Authors
1 AJUMS
2 Department of Physiology, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract
Background: The health-related quality of life in patients who have received kidney transplants plays a crucial role in determining the timing of their dialysis initiation and their involvement in family and community settings. Consequently, this study was conducted to evaluate the quality of life among kidney transplant recipients.

Method: This research is a retrospective descriptive-analytical study involving patients who have undergone kidney transplantation within the past year, carried out at Golestan and Imam Khomeini Ahvaz hospitals. A specific questionnaire, the KDQOL-SF, was employed to gather data on the quality of life of these patients. The study comprised 27 participants who were at least 6-months post-transplant.

Results: The results indicated that the overall quality of life among the participants was average, with those who were one-year post-transplant reporting improved quality of life scores. It was observed that men and married individuals had significantly higher quality of life scores compared to their female and single counterparts. Furthermore, participants aged 26 to 30 years exhibited the highest quality of life scores, and a significant positive correlation was found between quality of life and the level of social support received by kidney transplant patients.

Conclusion: In summary, the findings of this study suggest that the quality of life for kidney transplant recipients is generally average, with notable improvements occurring one year after the procedure. Additionally, demographic factors such as gender, marital status, and age, along with the presence of social support, are significant determinants of quality of life in this demographic.

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1.Jofre R, Lopez-Gomez JM, Valderrabano F, et al. Changes in quality of life after renal transplantation. Am J Kidney Dis. 1998;32:93e100.
2.Rose C, Gill J, Gill JS. Association of Kidney Transplantation with Survival in Patients with Long Dialysis Exposure. Clin J Am Soc Nephrol. 2017;12(12):2024-2031.
3.Womasz W, Piotr S. A trial of objective comparison of quality of life between chronic renal failure patients treated with hemodialysis and renal transplantation. Ann Transplant. 2003;8:47e5
4.Reimer J, Franke GH, Heemann U, et al. Quality of life in patients before and after kidney transplantation. Psychother Psychosom Med Psychol. 2002;52:16e23.
5.Hiragi S, Goto R, Tanaka Y, et al. Estimating the net utility gains among donors and recipients of adult living donor kidney transplant. Transplant Proc 2019;51:676e83.
6.Namadi M, Movahedpur A. Comparson of quality of life in hemodialysis patients and renal transplant in centers hospitals of Ardabil [In Persian]. J Ardabil Univ. 2009;9(2):171–9.
7.Tol A, Esmaeil Shahmirzadi S,Moradian SorkhkolaeeM, AzamK. Determination of quality of life of dialysis and kidney transplant patients compared to healthy people. J Res Health Systems. 2012;7(6):1170–7.
8.Barotfi S, Molnar MZ, Almasi C, Kovacs AZ, Remport A, Szeifert L, et al. Validation of the Kidney Disease Quality of Life-Short Form questionnaire in kidney transplant patients. J Psychosom Res. 2006;60(5):495-504.
9.Hays RD, Kallich JD, Carter WB, et al. Development of the kidney disease quality of life (KDQOL) instrument. Qual Life Res .1994;3:329e38.
10.Miura Y, Green J, Fukuhara S. KDQOL-SFTM version 1.3. Japanese version. Tokyo: Public Health Research Foundation;2001
11.Ranabhat, K., Khanal, P., Mishra, S.R. et al. Health related quality of life among haemodialysis and kidney transplant recipients from Nepal: a cross sectional study using WHOQOL-BREF. BMC Nephrol 21, 43
12.Yekaninejad MS, Mohammadi Zeidi I, Akaberi A, Golshan A, pakpour A. Validity and reliability of the Kidney Disease Quality of Life - Short Form (KDQOL-SF™ 1.3) in Iranian patients. J North Khorasan Univ Med Sci 2012; 4(2):261-72.
13.Fardinmehr O, Farajzadegan Z, Emami Naini A, Mortazavi M, Gholamrezaei A. The validity and reliability of the Persian Version of Kidney Disease Quality of Life Questionnaire-Short Form (KDQOL-SF) in Iranian patients. Journal of Isfahan medical school 2012; 29.
14. Deng LX, Sharma A, Gedallovich SM, Tandon P, Hansen L, Lai JC. Caregiver burden in adult solid organ transplantation. Transplantation. 2023 Jul 1;107(7):1482-91.
15. Abecassis M, Bartlett ST, Collins AJ, Davis CL, Delmonico FL, Friedewald JJ, Hays R, Howard A, Jones E, Leichtman AB, Merion RM. Kidney transplantation as primary therapy for end-stage renal disease: a National Kidney Foundation/Kidney Disease Outcomes Quality Initiative (NKF/KDOQI™) conference. Clinical Journal of the American Society of Nephrology. 2008 Mar 1;3(2):471-80.
16. Ranabhat K, Khanal P, Mishra SR, Khanal A, Tripathi S, Sigdel MR. Health related quality of life among haemodialysis and kidney transplant recipients from Nepal: a cross sectional study using WHOQOL-BREF. BMC nephrology. 2020 Dec;21:1-8.
17. Mendonça AE, Salvetti MD, Maia EM, Silva AC, Torres GD. Analysis of the physical aspects of quality of life of kidney recipients. Revista da Escola de Enfermagem da USP. 2015 Jan;49:76-81.
18. Kostro JZ, Hellmann A, Kobiela J, Skóra I, Lichodziejewska-Niemierko M, Dębska-Ślizień A, Śledziński Z. Quality of life after kidney transplantation: a prospective study. InTransplantation proceedings 2016 Jan 1 (Vol. 48, No. 1, pp. 50-54). Elsevier.
19. Mosaku K, Kolawole B, Mume C, Ikem R. Depression, anxiety and quality of life among diabetic patients: a comparative study. Journal of the national medical association. 2008 Jan 1;100(1):73-8.
20. Das RC, Srivastava K, Tudu J, Hooda AK. Crosssectional study of quality of life after renal transplant in end stage renal disease. Industrial psychiatry journal. 2014 Jan 1;23(1):40-3.
21. v. Wintzingerode F, Göbel UB, Stackebrandt E. Determination of microbial diversity in environmental samples: pitfalls of PCR-based rRNA analysis. FEMS microbiology reviews. 1997 Nov 1;21(3):213-29.
22. Mendonça AE, Torres GD, Salvetti MD, Alchieri JC, Costa IK. Changes in Quality of Life after kidney transplantation and related factors. Acta Paulista de Enfermagem. 2014;27:287-92.
23. Dobbels F, Wong S, Min Y, Sam J, Kalsekar A. Beneficial effect of belatacept on health-related quality of life and perceived side effects: results from the BENEFIT and BENEFIT-EXT trials. Transplantation. 2014 Nov 15;98(9):960-8.
24. Moudi A, Shahinfar S, Razmara MR, Salehiniya H. Is the quality of life different in single and remarried elderly?. Journal of education and health promotion. 2020;9.
25. Noto S. Perspectives on Aging and Quality of Life. InHealthcare 2023 Jul 26 (Vol. 11, No. 15, p. 2131). MDPI.
26. Zhao SM, Dong FF, Qiu HZ, Li D. Quality of life, adherence behavior, and social support among renal transplant recipients in China: a descriptive correlational study. InTransplantation Proceedings 2018 Dec 1 (Vol. 50, No. 10, pp. 3329-3337). Elsevier.