Guzel H, Korkmaz M
Sanko University Health Sciences Faculty Nursing Department, Turkey.
Malatya Inonu University Nursing Faculty, Turkey.
Transplant Proc. 2019 May;51(4):1029-1037. doi: 10.1016/j.transproceed.2019.01.083. Epub 2019 Feb 7.
Chronic renal failure is one of the most significant health problems in Turkey, as it is all over the world, and negatively affects quality of life. The aim of this study is to find factors affecting compliance levels and quality of life of patients undergoing kidney transplant.
The population of the study consisted of 244 patients who underwent kidney transplant. Although the study aimed to cover the entire target population in the sampling selection, it was conducted among 206 patients. The data were collected by face-to-face interview.
Of the patients, 92.7% were between 46 and 59 years of age, 54.4% had a living donor transplant, 54.9% had adverse effects, and 2.9% had rejection due to incompatibility. There was a significant relationship between compliance and quality of life; increasing frequency of adverse effects would decrease in direct proportion to compliance, which would, therefore, increase quality of life. All the subscale scores of the 36-Item Short Form Health Survey were found to have an average of 60 and above. The mean of the compliance scale was 48.33 (SD, 3.21), and, with the maximum score at 55, the mean of the group was high. In our country, patients view transplant as a final and definite treatment method. This might be related to fact that the longer the time after transplant, the lower the level of compliance.
慢性肾衰竭是土耳其乃至全球最为严重的健康问题之一，对生活质量产生负面影响。本研究旨在找出影响肾移植患者依从性水平和生活质量的因素。
研究对象为244例接受肾移植的患者。尽管研究旨在涵盖抽样选择中的整个目标人群，但实际研究的是206例患者。数据通过面对面访谈收集。
患者中，92.7%年龄在46至59岁之间，54.4%接受活体供体移植，54.9%有不良反应，2.9%因不相容而发生排斥反应。依从性与生活质量之间存在显著关系；不良反应发生频率增加会与依从性成反比降低，从而提高生活质量。36项简短健康调查问卷的所有子量表得分平均均在60分及以上。依从性量表的均值为48.33（标准差为3.21），满分55分，该组均值较高。在我国，患者将移植视为最终且确定的治疗方法。这可能与移植后时间越长，依从性水平越低这一事实有关。
