DOI QR코드

DOI QR Code

장기이식 대기자와 수혜자의 불안, 우울 및 삶의 질 비교

Comparison of Anxiety, Depression, and Quality of Life between Organ Transplant Candidates and Recipients

  • 투고 : 2012.02.14
  • 심사 : 2012.06.17
  • 발행 : 2012.06.30

초록

Purpose: The aim of this study was to compare the levels of anxiety, depression, and quality of life (QOL) among kidney or liver transplant candidates and recipients. Methods: A cross-sectional descriptive design was utilized. The 160 subjects were recruited and assigned to three different conditions: awaiting transplant group; post-transplantation (TPL) group within less than one year of surgery; and post-TPL group with one year and no more than two years post surgery. The levels of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. The level of quality of life was measured by the Medical Outcomes Study Short Form-36 version 2. Results: The anxiety score was significantly higher in the waiting group compared with the 1~2 years post TPL group. The depression score was significantly higher in the waiting group compared with the post TPL groups. The QOL was significantly lower in the waiting group compared with the post TPL groups. Conclusion: Our results show a high prevalence of anxiety and depression and a marked reduction in the QOL in transplant candidates compared to the recipients. This study indicates that the group waiting for transplants may have unmet needs during that time period. Health professionals should be encouraged to attend to the psychological distress of the transplant candidates in order to improve their quality of life.

키워드

참고문헌

  1. Akman, B., Ozdemir, F., Sezer, S., Micozkadioglu, H., & Haberal, M. (2004). Depression levels before and after renal transplantation. Transplantation Proceedings, 36, 111-113. http:// dx.doi.org/10.1016/j.transproceed.2003.11.021
  2. Bang, K. T., Kim, M. G., Byeon, N. I., Kim, Y. J., Jeong, J. C., Ro, H., et al. (2010). Current management for patients on the waiting list of deceased donor kidney transplantation in Korea. The Journal of the Korean Transplantation Society, 24, 272-283. https://doi.org/10.4285/jkstn.2010.24.4.272
  3. Bjork, I., & Naaden, D. (2008). Patients' experiences of waiting for a liver transplantation. Nursing Inquiry, 15, 289-298. http:// dx.doi.org/10.1111/j.1440-1800.2008.00418.x
  4. Corruble, E., Durrbach, A., Charpentier, B., Lang, P., Amidi, S., Dezamis, A., et al. (2010). Progressive increase of anxiety and depression in patients waiting for a kidney transplantation. Behavioral Medicine, 36, 32-36. http://dx.doi.org/ 10.1080/08964280903521339
  5. DiMatteo, M., Lepper, H., & Croghan, T. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160, 2101-2107. https://doi.org/10.1001/archinte.160.14.2101
  6. Fallon, M., Gould, D., & Wainwright, S. P. (1997). Stress and quality of life in the renal transplant patient: A preliminary investigation. Journal of Advanced Nursing, 25, 562-570. http://dx.doi.org/10.1046/j.1365-2648.1997.1997025562.x
  7. Ferrans, C., & Powers, M. (1985). Quality of life index: Development and psychometric properties. Advances in Nursing Science, 8, 15-24. https://doi.org/10.1097/00012272-198510000-00005
  8. Goetzmann, L., Ruegg, L., Stamm, M., Ambuhl, P., Boehler, A., Halter, J., et al. (2008). Psychosocial profiles after transplantation: A 24-month follow-up of heart, lung, liver, kidney and allogeneic bone-marrow patients. Transplantation, 86, 662- 668. http://dx.doi.org/10.1097/TP.0b013e3181817dd7
  9. Goetzmann, L., Wagner-Huber, R., Klaghofer, R., Muellhaupt, B., Clavien, P., Buddeberg, C., et al. (2006). Waiting for a liver transplant: Psychosocial well-being, spirituality, and need for counselling. Transplantation Proceedings, 38, 2931-2936. http://dx.doi.org/10.1016/j.transproceed.2006.08.171
  10. Ha, H. S., Jeong, J. S., Chae, Y. R., Hong, J. J., Kim, I. O., Yi, M. S., et al. (2007). Psychosocial adjustment of the organ transplantation recipients in Korea. The Journal of the Korean Transplantation Society, 21 , 269-281.
  11. Jarrett, M. (2009). Use of clinical practice guidelines to promote best practice when managing clinical interventions for liver transplant candidates. Progress in Transplantation, 19, 132- 141. https://doi.org/10.1177/152692480901900207
  12. Karaminia, R., Tavallaii, S., Lorgard-Dezfuli-Nejad, M., Moghani Lankarani, M., Hadavand Mirzaie, H., Einollahi, B., et al. (2007). Anxiety and depression: A comparison between renal transplant recipients and hemodialysis patients. Transplantation Proceedings, 39, 1082-1084. http://dx.doi.org/ 10.1016/j.transproceed.2007.03.088
  13. Kim, E. M., & Kim, K. S. (2007). A structural model on quality of life for recipients of liver transplants. The Korean Journal of Fundamentals of Nursing, 14, 340-350.
  14. Kim, G. H. (2004). A study on quality of life of organ transplantation candidates and recipients. Unpublished master's thesis, Seoul National University, Seoul.
  15. Kim, K. S., Kang, J. E., & Jeong, I. S. (2003). Health related quality of life among organ transplant recipients. Journal of Korean Academy of Nursing, 33, 365-375. https://doi.org/10.4040/jkan.2003.33.3.365
  16. Krasnoff, J. B., Vintro, A. Q., Ascher, N. L., Bass, N. M., Dodd, M. J., & Painter, P. L. (2005). Objective measures of health related quality of life over 24 months post liver transplantation. Clinical Transplantation, 19, 1-9. http://dx.doi.org/ 10.1111/j.1399-0012.2004.00306.x
  17. Lee, C., Park, I. H., Yu, H. J., Kim, C. Y., Han, O. S., & Han, D. J. (1993). Changes of psychosocial adjustment, coping behaviors, emotions and sickness impact following kidney transplantation of kidney recipients. The Korean Journal of Clinical Psychology, 12, 142-151.
  18. Merz, D. (1998). Nursing issues related to post-transplant patients and their families. Journal of Psychosocial Nursing and Mental Health Services, 36, 32-36.
  19. Moran, A., Scott, A., & Darbyshire, P. (2011). Waiting for a kidney transplant: Patients' experiences of haemodialysis therapy. Journal of Advanced Nursing, 67, 501-509. http://dx.doi. org/10.1111/j.1365-2648.2010.05460.x
  20. Muehrer, R., & Becker, B. (2005). Life after transplantation: New transitions in quality of life and psychological distress. Seminar in Dialysis, 18, 124-131. http://dx.doi.org/10.1111/j.1525-139X.2005.18214.x
  21. Niu, S. F., & Li, I. C. (2005). Quality of life of patients having renal replacement therapy. Journal of Advanced Nursing, 51, 15- 21. http://dx.doi.org/10.1111/j.1365-2648.2005.03455.x
  22. Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
  23. Park, C. K., Park, S. Y., Kim, E. S., Park, J. H., Hyun, D. W., Yoon, Y. M., et al. (2003). Assessment of quality of life and associated factors in patients with chronic viral liver disease. The Korean Journal of Hepatology, 9, 212-221.
  24. Szeifert, L., Molnar, M. Z., Ambrus, C., Koczy, A. B., Kovacs, A. Z., Vamos, E. P., et al. (2010). Symptoms of depression in kidney transplant recipients: A cross-sectional study. American Journal of Kidney Diseases, 55, 132-140. http://dx.doi. org/10.1053/j.ajkd.2009.09.022
  25. Teran-Escandon, D. Ruiz-Ornelas, J., Estrada-Castillo, J. G., Barajas- Juarez, L., & Diaz-Martinez, A. (2001). Anxiety and depression among renal transplantation candidates: Impact of donor availability. Actas Esp Psiquiatr, 29, 91- 94.
  26. Yun, J. H., Kang, J. M., Kim, K. S., Kim, S. H., Kim, T. H., Park, Y. W., et al. (2004). Health-related quality of life in Korean patients with chronic diseases. The Journal of the Korean Rheumatism Association, 11, 263-274.
  27. Ware, J. E., Kosinski, M., Bjorner, J. B., Turner-Bowker, D. M., Gandek, B., & Maruish, M. E. (2008). SF-36 v2 health survey: Administration guide for clinical trial investigators. Lincoln, RI: QualityMetric Incorporated.
  28. Ware, J., Kosinski, M., & Dewey, J. (2000). How to score version two of the SF-36 health survey. Lincoln, RI: Quality Metric Incorporated.
  29. Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatriac Scandinavica, 67, 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x

피인용 문헌

  1. Waiting for a kidney transplant: the experience of patients with end-stage renal disease in South Korea vol.25, pp.7-8, 2016, https://doi.org/10.1111/jocn.13107
  2. 대학생의 뇌사자 장기기증 의도에 영향을 미치는 요인+ vol.12, pp.4, 2012, https://doi.org/10.12811/kshsm.2018.12.4.191