Comparative Health-Related Quality of Life among Kidney Transplant Recipients with Self-Management Behaviors and Body Mass Index
Keywords:
health-related quality of life, Kidney transplant recipientsAbstract
Despite recent advances in kidney transplant (KT) treatment and management, complications which may impact the quality of life of kidney transplant recipients (KTRs) and readmissions among this group have been reported. It is unclear whether patients with different self-management behaviors and body mass index levels experience a different health-related quality of life (HRQoL). This study aims to investigate the HRQoL of KTRs and compare the HRQoL among KTRs with different self-management behaviors and body mass index levels. Data were collected among 238 KTRs who visited the outpatient organ transplantation departments of Siriraj Hospital, Thammasat University Hospital, and Vajira Hospital from March to April 2024. The instruments used for data collection were validated by five experts and tested for reliability among 30 KTRs. These instruments included: 1) demographic and clinical data record forms; 2) the Kidney Transplantation Self-Management Scale [KTSMS], which yielded a content validity index (CVI) of .99 and Cronbach’s alpha of .90; and 3) the KDQOL-SF version 1.3, which yielded a content validity index (CVI) of .92 and test-retest reliability with a Pearson's coefficient of .99. Data were analyzed using descriptive statistics, independent simple t-tests, and one-way ANOVA.
Results: The overall HRQoL of the participants was at a good level (Mean = 78.41, SD = 8.70). Additionally, KTRs with high scores regarding self-management behaviors had higher HRQoL scores than those with lower self-management behaviors (p < 0.05). Moreover, KTRs with BMI > 23 kg/m2 had a higher HRQoL than those with BMI < 18 kg/m2 (p < 0.05). Conclusion: The results of this study can be used to promote self-management behaviors among KTRs to enhance their HRQoL.
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