A Structural Model on Quality of Life for Recipients of Liver Transplants.
- Author:
Eun Man KIM
1
;
Keum Soon KIM
Author Information
1. Seoul National University Hospital, Korea. kem7355@hanmail.net
- Publication Type:Original Article
- Keywords:
Liver transplantation;
Quality of life;
Self efficacy;
Depression
- MeSH:
Depression;
Hospitals, University;
Liver Transplantation;
Liver*;
Models, Structural*;
Models, Theoretical;
Quality of Life*;
Questionnaires;
Self Efficacy;
Uncertainty
- From:Journal of Korean Academy of Fundamental Nursing
2007;14(3):340-350
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was done to construct a quality of life (QOL) model for recipients of a liver transplant. METHOD: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program. RESULTS: Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance. CONCLUSION: This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.
