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年轻成年肾移植受者的生活状况与生活质量

Life situation and quality of life in young adult kidney transplant recipients.

作者信息

Aasebø Willy, Homb-Vesteraas Nina Agnete, Hartmann Anders, Stavem Knut

机构信息

Section of Nephrology, Medical Department, Rikshospitalet University Hospital, Oslo, Norway.

出版信息

Nephrol Dial Transplant. 2009 Jan;24(1):304-8. doi: 10.1093/ndt/gfn537. Epub 2008 Oct 7.

Abstract

BACKGROUND

Young adults, 18-35 years of age, may be more vulnerable to chronic diseases than other age groups. In this study we describe the life situation and lifestyle of young adult kidney transplant recipients and compare their health-related quality of life (HRQoL) with a general population sample.

METHODS

Questionnaires, including items on life situation, lifestyle, and the SF-36 HRQoL questionnaire, were mailed to all 280 renal transplant recipients in Norway between 18 to 35 years of age at the time of investigation of whom 131 (47%) responded. For comparison, we used 2,360 respondents aged 18 to 35 years from a general population survey in one Norwegian county. SF-36 scores are presented with unadjusted scores and the mean difference between groups adjusted for age, sex and education using multiple linear regression analysis.

RESULTS

The kidney transplant recipients reported high participation rates in cultural and sports activities, and the majority of them were satisfied with their work. A larger proportion of the transplant recipients had attained university education than the general population sample. However, 25% of the total group were not integrated in professional life. The transplant recipients scored lower than the general population on seven of the eight SF-36 scales and the two summary scales after adjusting for age, sex and education.

CONCLUSIONS

The majority of young adult kidney recipients aged 18-35 years were well adapted in their family and professional life and satisfied with their current life situation. However, in aggregate they reported lower HRQoL on most scales of the SF-36 than a general population sample.

摘要

背景

18至35岁的年轻人可能比其他年龄组更容易患慢性病。在本研究中,我们描述了年轻成年肾移植受者的生活状况和生活方式,并将他们的健康相关生活质量(HRQoL)与一般人群样本进行比较。

方法

在调查时,向挪威所有280名年龄在18至35岁之间的肾移植受者邮寄了问卷,包括有关生活状况、生活方式和SF-36 HRQoL问卷的项目,其中131人(47%)做出了回应。为了进行比较,我们使用了来自挪威一个县的一般人群调查的2360名年龄在18至35岁之间的受访者。SF-36得分以未调整得分呈现,并使用多元线性回归分析对年龄、性别和教育进行调整后呈现组间平均差异。

结果

肾移植受者报告在文化和体育活动中的参与率较高,并且他们中的大多数对工作感到满意。与一般人群样本相比,接受移植者中获得大学教育的比例更高。然而,总群体中有25%没有融入职业生活。在对年龄、性别和教育进行调整后,移植受者在SF-36的八个量表中的七个以及两个总结量表上的得分低于一般人群。

结论

大多数18至35岁的年轻成年肾移植受者在家庭和职业生活中适应良好,并对他们目前的生活状况感到满意。然而,总体而言,他们在SF-36的大多数量表上报告的HRQoL低于一般人群样本。

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