Yoshikawa Yuki, Uchida Junji, Akazawa Chiharu, Suganuma Nobuhiko
Faculty of Medicine, Osaka City University, Osaka, Japan.
Department of Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Int J Womens Health. 2018 Jun 12;10:299-307. doi: 10.2147/IJWH.S152750. eCollection 2018.
Health-related quality of life (HRQOL) among kidney transplant recipients is associated with physical and psychosocial characteristics. Furthermore, pregnancy and childcare may be particularly challenging for women. The aim of this study was to assess the relationship between patients' psychosocial characteristics and HRQOL, specifically for recipients who have given birth after their kidney transplant.
This was a cross-sectional study. Participants were 59 kidney transplant recipients who had given birth after transplantation. The tools used were the Medical Outcomes Scale, the Kidney Transplantation Self-Management Scale, the Multidimensional Scale of Perceived Social Support (MSPSS), and The Maternal Consciousness Scale.
Mean age was 42.3±7.2 years, and the mean age at the time of transplant was 28.2±4.6 years. A total of 82 fetal outcomes were evaluated. Maternal age was 33.6±4.1 years, duration of gestational period was 35.3±3.3 weeks, and birth weight was 2,303.8±592.5 g. HRQOL results were nearly the same as stratified national norms. The physical component summary was positively correlated with the MSPSS (=0.025), and self-care behavior was positively correlated with the mental component score (=0.029) and MSPSS (=0.016). A structural equation model revealed that self-care behavior and the patient-health professions partnership indirectly affected physical health through social support.
Self-management indirectly affects physical health through social support. To create a supportive environment through monitoring and consultation with patient families, child-rearing kidney transplant recipients should be encouraged to improve their self-management skills to improve their quality of life. Social support for self-management may contribute to improve HRQOL for women who experience pregnancy and child-rearing after transplantation.
肾移植受者的健康相关生活质量（HRQOL）与身体和心理社会特征相关。此外，怀孕和育儿对女性来说可能特别具有挑战性。本研究的目的是评估患者心理社会特征与HRQOL之间的关系，特别是针对肾移植后分娩的受者。
这是一项横断面研究。参与者为59名肾移植后分娩的受者。所使用的工具包括医学结果量表、肾移植自我管理量表、多维感知社会支持量表（MSPSS）和母性意识量表。
平均年龄为42.3±7.2岁，移植时的平均年龄为28.2±4.6岁。共评估了82例胎儿结局。产妇年龄为33.6±4.1岁，妊娠期为35.3±3.3周，出生体重为2303.8±592.5克。HRQOL结果与分层的全国标准几乎相同。身体成分总结与MSPSS呈正相关（=0.025），自我护理行为与心理成分得分呈正相关（=0.029）和MSPSS呈正相关（=0.016）。结构方程模型显示，自我护理行为和患者 - 健康专业人员伙伴关系通过社会支持间接影响身体健康。
自我管理通过社会支持间接影响身体健康。为通过与患者家庭的监测和咨询创造支持性环境，应鼓励育儿肾移植受者提高自我管理技能以改善生活质量。对自我管理的社会支持可能有助于改善移植后经历怀孕和育儿的女性的HRQOL。
