Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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A Meta-Analysis on Factors Related to Quality of Life in Heart Transplant Recipients

심장이식 수혜자의 삶의 질 관련 요인에 대한 메타분석

  • Jang, Mi Ra (Department of Nursing, Samsung Medical Center) ;
  • Im, Se Rah (Department of Nursing, Samsung Medical Center) ;
  • Choi, Mona (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 장미라 (삼성서울병원) ;
  • 임세라 (삼성서울병원) ;
  • 최모나 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2019.09.30
  • Accepted : 2019.10.25
  • Published : 2019.12.31
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초록

Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

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참고문헌

  1. Lee HY, Oh BH. Heart transplantation in Asia. Circulation Journal. 2017;81(5):617-621. https://doi.org/10.1253/circj.CJ-17-0162
  2. Korean Network for Organ Sharing(KONOS). Organ transplantation and donation of human tissue statistical yearbook 2018. Sejong: KONOS; 2019 Sep. Report No.: 11-1351155-000001-01.
  3. Czyżewski Ł, Torba K, Jasińska M, Religa G. Comparative analysis of the quality of life for patients prior to and after heart transplantation. Annals of Transplantation. 2014;19:288-294. https://doi.org/10.12659/AOT.890190
  4. Kim JJ. Heart transplant: Present and future. Journal of Korean Society of Health-System Pharmacists. 2010;27(3):219-226.
  5. Stiefel P, Malehsa D, Bara C, Strueber M, Haverich A, Kugler C. Symptom experiences in patients after heart transplantation. Journal of Health Psychology. 2013;18(5):680-692. https://doi.org/10.1177/1359105312454909
  6. Ha HS, Jeong JS, Chae YR, Hong JJ, Kim IO, Yi MS, et al. Psychosocial adjustment of the organ transplantation recipients in Korea. Korean Journal of Transplantation. 2007;21(2):269-281.
  7. Hwang YH, Yi M. The lived experience of patients with heart transplantation: A phenomenological study. Journal of Korean Academy of Nursing. 2017;47(1):110-120. https://doi.org/10.4040/jkan.2017.47.1.110
  8. Tung HH, Chen HL, Wei J, Tsay SL. Predictors of quality of life in heart-transplant recipients in Taiwan. Heart & Lung. 2011;40(4):320-330. https://doi.org/10.1016/j.hrtlng.2009.11.003
  9. Kim SJ. Predictors of quality of life following heart transplantation [dissertation]. Seoul: Chung-Ang University; 2001. p. 1-104.
  10. Chou YY, Lai YH, Wang SS, Shun SC. Impact of fatigue characteristics on quality of life in patients after heart transplantation. The Journal of Cardiovascular Nursing. 2017;32(6):551-559. https://doi.org/10.1097/jcn.0000000000000400
  11. Delgado JF, Almenar L, Gonzalez-Vilchez F, Arizon JM, Gomez M, Fuente L, et al. Health-related quality of life, social support, and caregiver burden between six and 120 months after heart transplantation: A Spanish multicenter cross-sectional study. Clinical Transplantation. 2015;29(9):771-780. https://doi.org/10.1111/ctr.12578
  12. Kim IO. The related factors of self care compliance and quality of life in heart transplant recipient [master's thesis]. Seoul: Korea University; 2006. p. 1-70.
  13. Sauerland S, Seiler CM. Role of systematic reviews and meta-analysis in evidence-based medicine. World Journal of Surgery. 2005;29(5):582-587. https://doi.org/10.1007/s00268-005-7917-7
  14. Tackmann E, Dettmer S. Health-related quality of life in adult heart-transplant recipients-a systematic review. Herz. 2018. https://doi.org/10.1007/s00059-018-4745-8
  15. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011. p. 18-57.
  16. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097
  17. Study Quality Assessment Tools: Quality assessment tool for observational cohort and cross-sectional studies [Internet]. Bethesda: National Heart, Lung, and Blood Institute; c2008 [cited 2019 July 3]. Available from: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.
  18. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. Journal of Nursing Scholarship. 2005;37(4):336-342. https://doi.org/10.1111/j.1547-5069.2005.00058.x
  19. Valentine JC, Pigott TD, Rothstein HR. How many studies do you need?: A primer on statistical power for meta-analysis. Journal of Educational and Behavioral Statistics. 2010;35(2):215-247. https://doi.org/10.3102/1076998609346961
  20. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates; 1988. p. 75-107.
  21. Ferrans CE, Powers MJ. Quality of life index: Development and psychometric properties. Advances in Nursing Science. 1985;8(1):15-24. https://doi.org/10.1097/00012272-198510000-00005
  22. Rector TS, Johnson G, Dunkman WB, Daniels G, Farrell L, Henrick A, et al. Evaluation by patients with heart failure of the effects of enalapril compared with hydralazine plus isosorbide dinitrate on quality of life. V-HeFT II. The V-HeFT VA Cooperative Studies Group. Circulation. 1993;87(6 Suppl):VI71-VI77.
  23. Campbell A, Converse PE, Rodgers W. The quality of American life: Perceptions, evaluations, and satisfactions. New York: Russell Sage Foundation; 1976.
  24. Lee HJ, Kim YS, Park I. Calculation of sample size in clinical trials. Clinics in Shoulder and Elbow. 2013;16(1):53-57. https://doi.org/10.5397/CiSE.2013.16.1.53
  25. Kim SY. Reporting guidelines. Korean Journal of Family Medicine. 2009;30(1):62. https://doi.org/10.4082/kjfm.2009.30.1.62
  26. Grandi S, Sirri L, Tossani E, Fava GA. Psychological characterization of demoralization in the setting of heart transplantation. The Journal of Clinical Psychiatry. 2011;72(5):648-654. https://doi.org/10.4088/JCP.09m05191blu
  27. Kim JH, Hyun MH. The effects of intolerance of uncertainty and perceived control on worry: The mediating effects of cognitive avoidance. Korean Journal of Psychology: General. 2011;30(4):1149-1164.
  28. Aguiar MI, Farias DR, Pinheiro ML, Chaves ES, Rolim IL, Almeida PC. Quality of life of patients that had a heart transplant: Application of Whoqol-Bref scale. Arquivos Brasileiros de Cardiologia. 2011;96(1):60-68. https://doi.org/10.1590/S0066-782X2010005000133
  29. Pigott TD. Advances in meta-analysis. New York: Springer; 2012. p. 1-6.