The Effect of Care Program on the Quality of Life of Patients Awaiting Liver Transplantation
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Abstract
Quality of life of patients in need of liver transplantation is impaired due to many reasons, and this affects the pre and post outcomes and complications of transplantation. Therefore, the aim of this study was to evaluate the effect of a care program on the quality of life of patients awaiting liver transplantation. This quasi-experimental study was conducted in 2017 on 117 patients awaiting liver transplantation in Imam Khomeini Hospital of Tehran. Based on entry criteria, the samples were selected purposefully, and their quality of life was evaluated. Then, a care program in 6 one-hour-long sessions for 2 months was implemented for them. This program was according to patients' needs, including disease and transplant process education with using multiple educational methods. The data collection tool was a quality of life questionnaire (1999), which was completed before and six weeks after the intervention. The results showed that the overall quality of life and its entire aspects improved after the implementation of care program in patients waiting for liver transplantation, and the most change was related to the aspect of systemic (P<0.01). Also, the demographic variables had no significant relationship with the aspects of quality of life. The results of this study indicated a positive effect of the care program on improving the quality of life of patients awaiting liver transplantation. Eliminating the problems of these patients requires the attention and support of planners and the cooperation of managers in order to develop care programs that can be used by healthcare professionals, especially nurses.
2. The latest results of 25 years of liver transplantation in Iran. The Islamic republic news agency. (Accessed 2019, at www.irna.ir/news/83150800.)
3. Sharma P, Schaubel DE, Gong Q, Guidinger M, Merion RM. End-Stage Liver Disease Candidates at the Highest MELD Scores Have Higher Wait-list Mortality than Status-1A Candidates. Hepatology 2012;55:192–8.
4. Mohammadi N, Shariat E, Dehghan NayerI N. Riding the waves of hope and despair: the lived experience of patients waiting for liver transplant. Int J Humanit Cult Stud 2016;3:191-200.
5. Hartford Hospital Liver Transplant Program. Hartford Hospital. (Accessed 2013, at Hartford Hospital.org.)
6. Tanikella R, M. Kawut SM, S. Brown Jr RS, Krowka MJ, Reinen J, Dinasarapu CR and et al. Health‐related quality of life and survival in liver transplant candidates. Liver Transpl 2010;16:238-45.
7. Uzun O, Aslan FE, Selimen D, Koch M. Quality of life in women with breast cancer in turkey. J Nurs scholarsh 2004;36:207-13.
8. Oudhoff JP, Timmermans DR, Knol DL, Bijnen AB,Vanderwal G. Waiting for elective general surgery: impact on health related quality of life and psychosocial consequences. BMC Public Health 2007;19:164.
9. García-Rodríguez MT, Piñón-Villar Mdel C, López-Calviño B, Otero-Ferreiro A, Suárez-López F, Gómez-Gutiérrez M, et al. Assessment of nutritional status and health-related quality of life before and after liver transplantation. BMC Gastroenterol 2015;15:1-9.
10. Ordin YS, Karayurt O, Wellard S. Investigation of adaptation after liver transplantation using Roy's Adaptation Model. Nurs Health Sci 2013;15:31-8.
11. Aghahosseini SS, Dehghan Nayeri N, Shahsavari H, Nasiri Tosi M. Life Experiences of Hepatitis Patients Waiting for Liver Transplantation. Hepat Mon 2017;17:e57775.
12. Negin H, Montazeri A, Behbodi E. [Assessment of health
related quality of life in chronic liver disease patients]. Payesh 2010;9:165-172.
13. keramat F, Mamani M, Torabian S, Aliparast Dostkohi M. Assessment and comparison of health-related quality of life in chronic hepatitis B and C patients with healthy persons in Hamedan province. Avicenna J Clin Med 2013;20:151-59.
14. Baldoni L, Stefanini A, Ducci Y, Viti G, Tellini C, Masetti M, et al. The role of the nursing coordinator in an Italian liver transplantation center. Transplant Proc 2003;35:985-6.
15. Zandi M, Alavian S.M, Memarian R, Kazem Nejad A. [Assessment of the Effect of Self Care Program on Quality of Life in Patients with Cirrhosis referred to Tehran Hepatitis Center in 2003]. RJMS 2004;11:411-20.
16. Ong SC, Mak B, Aung MO, Li SC, Lim SG. Health related quality of life in chronic hepatitis B patients. Hepatology 2008;47:1108-17.
17. Shariat E. Lived experience of waiting among liver transplantat candidates [PhD Dissertation]. Tehran: School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran; 2016.
18. Anderson RM, Davidson PL, Baumeister SE. Improving access to care. Changing the US health care system: key issues in health services policy and management. 3rd ed. United States: Jossey-Bass publishers, 2007.
19. Asadi Noughabi AA, Zandi M, Mehran A,Alavian S.M, Hasanpour DehkordiA. [The Assessment of Education's effect on Quality of Life in Patientsunder P-D Feron Treatment]. RJMS 2007;14:21-8.
20. Sharif F, Mohebbi S, Tabatabaee HR, Saberi-Firoozi M, Gholamzadeh S. Effects of psycho-educational intervention on health-related quality of life (QOL) of patients with chronic liver disease referring to Shiraz University of Medical Sciences. Health Qual Life Outcomes 2005;3:1-6.
21. Molayi S. The effect of telephone counseling on the continuation of treatment with interferon and quality of life in chronic hepatitis patients [MS Dissertation]. Tehran: School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran; 2008.
| Files | ||
| Issue | Vol 58, No 1 (2020) | |
| Section | Articles | |
| DOI | https://doi.org/10.18502/acta.v58i1.3703 | |
| Keywords | ||
| Liver transplantation Patient care program Quality of life | ||
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