Beaumont Hospital, Dublin, Ireland.
J Adv Nurs. 2010 Nov;66(11):2550-9. doi: 10.1111/j.1365-2648.2010.05410.x. Epub 2010 Aug 16.
This paper is a report of a study investigating the relationships between quality of life, patient coping preferences, and desire to be actively involved in care following renal transplantation.
While the general consensus is that quality of life is improved greatly by kidney transplantation, it is apparent that it is not uniformly a positive experience in this regard. There is a need to identify individual difference factors that influence quality of life following renal transplantation.
A correlational study was conducted in the national referral centre for renal transplantation in the Republic of Ireland in 2006 with a sample of 172 transplant recipients. Data were collected using a questionnaire composed of standardized instruments to measure the key concepts.
Participants perceived that they had good quality of life, and used more problem-solving than avoidance coping strategies. Avoidance coping strategies were associated with statistically significantly lower quality of life following transplantation. Being younger, attaining a higher education level, being in employment and being married were associated with higher quality of life following transplantation.
Assessment of coping strategies among the transplant population should be further explored in clinical practice, and steps employed to promote the use of positive coping strategies in order to maximize quality of life after transplant.
本文是一项研究报告，旨在调查肾移植后生活质量、患者应对偏好与积极参与护理意愿之间的关系。
尽管普遍认为肾移植极大地提高了生活质量，但显然并非所有人在这方面都有积极的体验。有必要确定影响肾移植后生活质量的个体差异因素。
2006 年，在爱尔兰共和国的国家肾移植转诊中心进行了一项相关性研究，样本量为 172 名移植受者。数据收集使用了一份问卷，其中包含用于测量关键概念的标准化工具。
参与者认为他们的生活质量良好，并且更多地采用解决问题策略而非回避应对策略。回避应对策略与移植后生活质量显著降低相关。年龄较小、教育程度较高、就业和已婚状态与移植后生活质量较高相关。
在临床实践中应进一步探讨对移植人群应对策略的评估，并采取措施促进积极应对策略的使用，以最大限度地提高移植后的生活质量。
