Analysis of the physical aspects of quality of life of kidney
                  recipients

Mendonça, Ana Elza Oliveira de; Salvetti, Marina de Góes; Maia, Eulália Maria Chaves; Silva, Ana Cristina de Oliveira e; Torres, Gilson de Vasconcelos

doi:10.1590/S0080-623420150000100010

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Artigo Original • Rev. esc. enferm. USP 49 (01) • Jan-Feb 2015 • https://doi.org/10.1590/S0080-623420150000100010 copy

Analysis of the physical aspects of quality of life of kidney recipients^* * Extracted from the thesis "A efetividade do transplante renal na qualidade de vida de receptores de rim no Rio Grande do Norte", Graduate program, Center for Health Sciences, Federal University of Rio Grande do Norte, 2014

Análisis de los aspectos físicos de la calidad de vida de receptores de riñón

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE

To identify the main factors of the physical domain modified after kidney transplantation and analyze the influence of those aspects in the perception of Overall quality of life (QOL).

METHOD

Longitudinal study, conducted with 63 chronic kidney patients, evaluated before and after kidney transplant, using the quality of life scale proposed by the World Health Organization.

RESULTS

We observed significant improvement in the physical aspects of QOL after kidney transplantation. Significant correlations were observed between physical aspects and the Overall QOL.

CONCLUSION

The kidney transplant generated improvement in all physical aspects of QOL. The factors that showed stronger correlation with the Overall QOL before the transplant were the capacity to work and pain. After the transplant, the perception of need for treatment was the factor that showed stronger correlation with the Overall QOL.

Kidney Transplantation; Quality of Life; Activities of Daily Living; Pain

Variables		n (%)
Age group	< 30	24 (38.1)
	31 to 45	19 (30.1)
	46 to 60	18 (28.6)
	> 60	2 (3.2)
Gender	Male	39 (61.9)
Gender	Female	24 (38.1)
Marital Status	Single	19 (30.2)
	Married	37 (58.7)
	Separated	5 (7.9
	Widow	2 (3.2)
Children	Yes	32 (51.0)
Children	No	31 (49.0)
Education	Illiterate	6 (9.6)
	Elementary School	31 (49.2)
	High school	21 (33.3)
	Higher education	5 (7.9)
Working activities	No	57 (90.4)
Working activities	Yes	6 (9.6)
Kidney Replacement Therapy	Hemodialysis	61 (96.8)
Kidney Replacement Therapy	Peritoneal Dialysis	2 (3.2)
Time in waiting list (years)	< 2	44 (69.8)
	2-4	13 (20.7)
	5-7	4 (6.4)
	8-10	2 (3.2)
Total		63 (100)

	Quality of life
	Before transplant	After transplant
Physical Domain	mean (SD)	mean (SD)	P-value^* * Wilcoxon test
Pain impact	3.48 (0.82)	1.52 (0.59)	<0.001
Treatment necessity	3.97 (0.44)	2.46 (0.80)	<0.001
Energy	2.54 (0.74)	4.32 (0.64)	<0.001
Able to get around	2.87 (1.08)	4.43 (0.69)	<0.001
Sleep	2.51 (0.93)	4.63 (0.49)	<0.001
Perform activities	2.49 (0.76)	4.57 (0.59)	<0.001
Capacity for work	2.43 (0.86)	4.49 (0.64)	<0.001

	Overall Quality of Life
Physical Domain	Before transplant		After transplant
Pain Impact	- 0.401^ p<0.01	(p= 0.001)	- 0.145	(p= 0.257)
Treatment necessity	*- 0.265^ * p<0.05**	(p= 0.036)	- 0.425^ p<0.01	(p= 0.001)
Energy	*0.296^ * p<0.05**	(p= 0.018)	0.334^ p<0.01	(p= 0.008)
Able to get around	0.162	(p= 0.205)	0.335^ p<0.01	(p= 0.007)
Sleep	0.336^ p<0.01	(p= 0.007)	0.209	(p= 0.100)
Perform activities	*0.315^ * p<0.05**	(p= 0.012)	0.230	(p= 0.070)
Capacity for Work	0.510^ p<0.01	(p< 0.001)	*0.293^ * p<0.05**	(p= 0.020)

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence:Marina de Góes Salvetti. Escola de Enfermagem da USP. Av. Dr. Enéas de Carvalho de Aguiar, 419 - Cerqueira Cesar. CEP 05403-000 - São Paulo, SP, Brasil E-mail: mgsalvetti@usp.br

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Analysis of the physical aspects of quality of life of kidney recipients* * Extracted from the thesis "A efetividade do transplante renal na qualidade de vida de receptores de rim no Rio Grande do Norte", Graduate program, Center for Health Sciences, Federal University of Rio Grande do Norte, 2014

Análisis de los aspectos físicos de la calidad de vida de receptores de riñón

OBJECTIVE

METHOD

RESULTS

CONCLUSION

Analysis of the physical aspects of quality of life of kidney recipients^* * Extracted from the thesis "A efetividade do transplante renal na qualidade de vida de receptores de rim no Rio Grande do Norte", Graduate program, Center for Health Sciences, Federal University of Rio Grande do Norte, 2014