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Title: The assessment of selected predictors of quality of life of heart trans plant recipients
Abstract:
Due to advances in medicine, effective immunosuppression treatment, heart transplantation has become a available treatment option for a selected group of patients with end-stage heart failure. In the assessment of outcomes following heart transplantation, the transplantation’s influence on psychic health and overall wellbeing is increasingly improving. Adjustment to the organ transplanted experience depends on physical, psychological as well as socio-demographical predictors which may reduced or improved quality of life. Aim of the study. The main aim was the assessment of influence of selected psychological, medical as well socio-demographical variables on quality of life of heart transplantation recipients.Material and methods. The study population consisted of 121 patients (30 women and 91 men); aged from 18 to 77 years, mean age of patients was 55, 01 years (± 13, 23). Time after heart transplantation was from 3 months to 20 years (mean 10.54 ± 5.24). In order to assess depended as well as independent variables the following research techniques were applied: WHOQOL - BREF - to assess quality of life, Beck Depression Inventory Scale (BDI -SF ), Perceived Stress Scale (PSS -10), Antonovsky’s Sense of Coherence (SOC), coping strategies for stress (Brief-COPE), Generalized Self Efficacy Scale (GSES), Life Orientation Test (LOT-R), Berlin Social Support Scale ( BSSS ), the chara ; cteristics of the socio -demographic and medical. Data were statistically analyzed using SPSS.ResultsMore than half of the respondents assessed the overall quality of life and satisfaction with their health status at a good or very good level. The lowest was functioning in somatic (physical) domain (average 13,035 ± 1,549) and psychological domain (mean 13,040 ± 1,100), the best functioning was evaluated in social relationships domain (mean 15,044 ± 2,404). There was a statistically significant difference between distributions of domain of QOL. There was a statistically significant, positive relationship between sense of coherence, dispositional optimism, self-efficacy, social support and positive coping strategies quality of life in all domains and negative between depression, perceived stress and negative coping strategies and quality of life. Univariate regression analysis showed that psychological variables explain the quality of life in all domain. In model of the determinants of quality of life, it was found that the sense of coherence, levels of stress, coping strategies: self-blame as well as self –distraction and actually received support, have the greatest impact on the quality of life of the population, explaining 63.4 % of the variance of the dependent variable. For social domain, determinants were senses of coherence, depression, positive reframing, actually receiv ; ed support which explained 84.3 % of the variance of the variable. For the somatic domain, determinant was the coping strategy: acceptance, which explained in the 8%. ; Conclusions.1. On the basis of the identified indicators of quality of life: medical, demographic and psychological the model of predictors of quality of life heart transplant recipients was created. 2. Personal resources (sense of coherence, optimism, self-efficacy, coping strategies) are the determinants of quality of life in heart transplant recipients. Higher strength of the sense of coherence, higher levels of optimism, higher levels of self-efficacy and proactive coping strategies the better quality of life in all domains. 3. Deficits in personal resources (poor strength of sense of coherence , low levels of optimism and self-efficacy, ineffective coping strategies), the occurrence of depression, and high levels of stress contribute to a reduced quality of life. all its domains. 4. For all field of social support it is showed a significant correlation with quality of life. For domains of quality of life the strongest relationship occurred with actually received support, which the study group experienced the most.6. Selected medical variables (number of medication, co-morbidities, and left ventricular ejection fraction) significantly affect the quality of life of the study group.
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transplantologia ; choroby układu krążenia
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Last modified:
Mar 15, 2023
In our library since:
Nov 26, 2014
Number of object content hits:
24
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1
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http://dl.cm-uj.krakow.pl:8080/publication/3925
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| Edition name | Date |
|---|---|
| ZB-121448 | Mar 15, 2023 |
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