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- Title
The Quality of Life After Liver Transplantation—The First Experience From Serbia.
- Authors
Oluić, Branislav; Jadrijevic, Stipislav; Pantic, Ivana; Dragasevic, Sanja; Popovic, Dusan; Stojkovic Lalosevic, Milica; Vlaisavljevic, Zeljko; Abdi, Alireza; Milovanovic, Tamara
- Abstract
Background : Liver transplantation (LT) is the most effective treatment for patients with end-stage liver disease, which dramatically effects patient's quality of life (QoL). The aim of this study was to evaluate the impact of socio-demographic and clinical factors on different QoL domains of patients who underwent orthotopic LT. Methods : A cross-sectional study included a total of 43 patients who underwent a LT from 2013 to 2018. Socio-demographic and clinical data were recorded in each patient. The QoL was estimated using two validated questionnaires: 36-Item Short Form Health Survey (SF-36) and Chronic Liver Disease Questionnaire (CLDQ). Results : Male patients obtained significantly higher scores than women, in the domains of general health perception (83.2 ± 16.3 vs. 71.0 ± 18.4; t = 2.229, p =.031) and physical component summary (69.0 ± 7.2 vs. 62.0 ± 11.4; t = 2.451, p =.019). There were no significant differences in other domains of SF-36 and CLDQ. Etiology of the underlying liver disease and the presence of post-transplant complications showed no effect on score values of SF-36 and CDLQ domains (p <.05). Time from LT showed negative medium correlation with role limitations due to physical health problems (S = −0.417, p =.005), while no other significant correlations were noted in other items of SF-36 and CLDQ. Conclusions : Men had higher scores in the domain of general health perception and physical component summary following LT than women. With the increase in time from LT, patients experience a decrease in limitations due to physical health problems. The audit and improvement of QoL is an essential part of the individualized long-term health-care approach to LT patients.
- Subjects
SERBIA; SURGERY &; psychology; STATISTICS; KRUSKAL-Wallis Test; SOCIAL participation; WELL-being; ANALYSIS of variance; CROSS-sectional method; TIME; AGE distribution; FUNCTIONAL status; PATIENTS; SURGICAL complications; HEALTH surveys; MANN Whitney U Test; HEALTH status indicators; LIVER diseases; SEX distribution; PATIENTS' attitudes; T-test (Statistics); QUALITY of life; QUESTIONNAIRES; DESCRIPTIVE statistics; HEALTH attitudes; AFFECTIVE disorders; LIVER transplantation; SOCIODEMOGRAPHIC factors; DATA analysis; DATA analysis software; STATISTICAL correlation; FATIGUE (Physiology); TRANSPLANTATION of organs, tissues, etc.; POSTOPERATIVE pain
- Publication
Journal of Doctoral Nursing Practice, 2022, Vol 15, Issue 3, p137
- ISSN
2380-9418
- Publication type
Article
- DOI
10.1891/JDNP-2021-0026