Satisfaction with the quality of life for people with liver transplant

Ciljevi: utvrditi zadovoljstvo kvalitetom života samoprocjenom različitih područjia života te razlike obzirom na spol, dob, vrijeme prošlo od transplantacije i prisutne nuspojave liječenja, utvrditi koliko se transplantirane osobe, obzirom na etiologiju pridržavaju zdravstvenih preporuka te povezanost kvalitete života i socijalne podrške. Metode i ispitanici: u ovu presječnu studiju uključena su 103 ispitanika kontrolirana u Transplantacijskoj ambulantu KB „Merkur". Instrument istraživanja bio je anonimni upitnik koji se sastojao od pedeset i šest pitanja i obuhvaća WHOQOL-BREF, Personal Wellbeing Index–Adult, Multidimenzionalnu skalu percipirane socijane podrške i upitnik sa sociodemorafskim i zdravstvenim podacima. Odgovori se definiraju na skali Likertovog tipa za WHOQOL- Bref od 1-5, PWI 1-10 i MSPSSA 1-7. Rezutati: Ispitanici su zadovoljstvo svojim životom uopće ocijenili medijanom 80 (interkvartilnog raspona od 60 do 90). Dobivena je slaba, ali značajna, negativna povezanost dobi ispitanika s ukupnom skalom kvalitete života (Spearmanov koeficijent korelacije Rho = -0,207, P = 0,04) i psihičkog zdravlja (Spearmanov koeficijent korelacije Rho = -0,209, P = 0,04). Značajno su zadovoljniji svim domenama, osim domene socijalnih odnosa, ispitanici bez nuspojava. Značajno je viša kvaliteta u svim domenama, osim tjelesnog zdravlja, ispitanici s visokim stupnjem percipirane socijalne podrške. Zaključak: Kvaliteta života osoba s transplantiranom jetrom u skladu je s onom opće populacije u Republici Hrvatskoj. Stariji ispitanici slabijeg su sveukupnog i psihičkog zdravlja. Osobe s prisutnim nuspojavama značajno su nezadovoljnije kvalitetom života. Visoki stupanj percipirane socijalne podrške daje značajno višu kvalitetu života .Aims: to determine the satisfaction with the quality of life through self-assessment of different life areas as well as the differences considering gender, age, the time past since the transplantation and present side-effects of the treatment, to determine to what degree transplantees, regarding ethiology, comply with medical recommendations and to determine the relationship between the quality of life and social support. The examinees and methods: 103 examinees controlled in Translpantation clinic KB “Merkur” are included in this cross-sectional study. The instrument of research was an anonymous questionnaire consiting of fifty-six questions and covering WHOQOL-BREF, Personal Wellbeing Index–Adult, Multidimensional Scale of Perceived Social Support and a questionnaire with socio-demographic and medical data. The answers are defined on Likert-type scale for WHOQOL- Bref from 1-5, PWI 1-10 and MSPSSA 1-7. Results: The examinees rated overall satisfaction with their life with median 80 (interquartile range 60-90). There is a weak, but significant negative connection of the examinees’ age with the overall scale of the quality of life (Spearman’s correlation coefficient Rho = -0,207, P = 0,04) and mental health (Spearman’s correlation coefficient Rho = -0,209, P = 0,04). Examinees without side-effects are significantly more satisfied with all domains except for the domain of social relationships. The quality is significantly higher in all domains except for the domain of physical health with examinees with higher level of perceived social support. Conclusion: The quality of life of people who have undergone liver transplantation is in accordance with that of overall population in the Republic of Croatia. Older examinees are in a poorer overall and mental health condition. People with present side-effects are significantly more unsatisfied with the quality of life. High level of perceived social support provides significantly higher quality of life