Liver recipient quality of life analysis

Abstract

The aim of the study – to evaluate the quality of life of patients after liver transplantation.Patients and methods. The quality of life of patients after liver transplantation was studied with the help of «SF-36 Health Status Survey» questionnaire and correlation analysis of all scales of the questionnaire with the MELD indices, Child-Pugh before transplantation, SCORE before and after transplantation, body mass index, immunosuppressants, presence of tumor, encephalopathy, hepatitis transplant was performed.The results. In the surveyed group, the average indicators on the scales «physical functioning» were reduced by 31.3%, «role functioning due to physical condition» - by 60.8%, «pain intensity» - by 13.2%, «general health condition» - by 33.4%, «Life activity» by 19.9%, «social functioning» by 19.8%, «emotional role functioning» by 52.9%, «mental health» by 11.7%, «physical component of health» by 24.5% and «psychological component of health» by 15.6%. Between hepatitis grafts and psychological health, as well as between the presence of tumors and pain intensity, the correlation coefficient is greater than 0.25, and the significance levels of both chi-square criteria are less than 0.05.Conclusions. Liver recipients have the lowest quality of life on the role-playing scale due to their physical condition compared to healthy liver recipients. A moderate statistically significant relationship between hepatitis grafts and psychological health, as well as the presence of tumors and pain intensity, has been revealed. There are no gender differences in all components of QL in the group of liver recipients.

Keywords

• liver transplantation
• quality of life
• sex
• sf-36 questionnaire