Analysis of current situation and influencing factors of postoperative quality of life and psychological status of pediatric recipients after kidney transplantation
10.3969/j.issn.1674-7445.2021.06.011
- VernacularTitle:儿童肾移植受者术后生存质量和心理状况现状及影响因素分析
- Author:
Miaomiao ZHOU
1
;
Youhua ZHU
;
Wenyu ZHAO
;
Fengjiao WANG
;
Shijun PU
;
Yanhua LI
Author Information
1. Department of Organ Transplantation, the First Affiliated Hospital of Navy Military Medical University, Shanghai 200433, China
- Publication Type:Research Article
- Keywords:
Pediatric kidney transplantation;
Quality of life;
Psychological status;
Nutritional status;
Influencing factor;
Body mass index;
Pediatric Quality of Life Inventory;
Strengths and Difficulties Questionnaire
- From:
Organ Transplantation
2021;12(6):713-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the current situation of quality of life and psychological status of pediatric recipients after kidney transplantation and analyze the influencing factors. Methods Ninety-six pediatric recipients undergoing kidney transplantation were enrolled in this study. Baseline data of the recipients were collected. The quality of life was assessed by Pediatric Quality of Life Inventory 3.0 (PedsQLTM3.0). The psychological status was evaluated by Strengths and Difficulties Questionnaire (SDQ). The influencing factors of postoperative quality of life and psychological status of pediatric kidney transplant recipients were subject to univariate and multivariate analyses. Results The total score of quality of life of pediatric kidney transplant recipients was (71±14) and (12.4±5.8) for the total difficulty score. Univariate analysis showed that gender, postoperative body mass index (BMI) and postoperative complications were the influencing factors of the total score of quality of life of pediatric kidney transplant recipients (all P < 0.05). Gender, postoperative complications and follow-up time were the influencing factors of the total difficulty score of pediatric kidney transplant recipients (all P < 0.05). Multivariate analysis demonstrated that gender, postoperative BMI, postoperative complications, dialysis type before kidney transplantation were the influencing factors of postoperative quality of life of pediatric kidney transplant recipients, whereas gender, postoperative complications and follow-up time were the influencing factors of postoperative psychological status (all P < 0.05). Conclusions The quality of life and psychological status of pediatric kidney transplant recipients are good. In clinical practice, special attention should be paid to those children who are female, with low BMI after kidney transplantation, postoperative complications and short follow-up time. Preventive interventions are recommended to further improve the quality of life of the children.
