腎臟移植前後病患社會心理狀態之變化
丁慧恭、高建璋、曹智惟、蒙恩、吳勝堂、查岱龍、孫光煥、于大雄、唐守宏
國防醫學院 三軍總醫院 外科部 泌尿外科
Psychosocial evaluation after kidney transplantation
Hui-Kung Ting, Chien-Chang Kao, Chu-Wei Tsao, En Meng, Seng-Tang Wu, Tai-Lung Cha, Guang-Huan Sun, Dah-Shyong Yu, Shou-Hung Tang
Division of Urology, Department of Surgery, Tri-Service General Hospital, National
Defense Medical Center, Taipei, Taiwan
Purpose: Although postoperatively we have relied on the allograft survival to determine results of the transplantation, such measures do not fully reveal the patient’s general health status. Nowadays, another major issue of renal transplantation is the patients’ psychological well being. The health-related quality of life (HRQoL) has increasingly been recognized as an outcome. The Short Form 36 (SF-36) is an extensively tool for scoring the HRQoL. In this study we investigate the HRQoL change after kidney transplantation in the era of modern.
Materials and Methods: Renal transplant patients were recruited from the outpatient clinics of the division of Nephrology /Urology in Tri-service general hospital. The recipients were asking to fill the SF-36 questionnaire. The patients who answered less than one half of the items on at least one scale were excluded from the psychometric analyses.
Results: In total, 57 recipients [26, (49.1%) male] were eligible to participate. Mean age was 42.2 years old. The postoperative follow-up duration was 17 to 147 months (median time of 42 months). The SF-36 component summary score was improved obviously after kidney transplantation (P < .001). Except for mental health (MH), all other post-transplant SF-36 dimensions showed a higher score compared to pre-transplant scores (P < .001).
Conclusions: Kidney transplantation significantly improved the heath-related quality of life of recipients. The scores of MH showed no differences before and after kidney transplant. Therefore, mental health care support should be a consideration, even in the event of a successful transplantation.