Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2009 Aug;39(4):518-527. Korean.
    Published online Aug 31, 2009.
    https://doi.org/10.4040/jkan.2009.39.4.518
    Copyright © 2009 Korean Society of Nursing Science
    Original Article

    A Prediction Model Development on Quality of Life in Kidney Transplant Recipients

    Hye Sook Kim,1 and Hyang Sook So2
      • 1Full-time Lecturer, Department of Nursing, Chodang University, Muan, Korea.
      • 2Professor, College of Nursing, Chonnam National University, Gwangju, Korea.
    • Address reprint requests to: Kim, Hye Sook. Department of Nursing, Chodang University, 1644 Seongnam-ri, Muan-eup, Muan 534-701, Korea. Tel: 82-61-450-1812, Fax: 82-61-450-1812, Email: opaal@hanmail.net
    Received October 09, 2008; Accepted July 21, 2009.

    Abstract

    Purpose

    The purpose of this study was to identify factors influencing quality of life in kidney transplant recipients and to understand the concrete pathway of influence and the power of each variable, so that integrated prediction model to promote the quality of life of kidney transplant recipients could be developed.

    Methods

    The sample was composed of 218 patients in follow-up care after a kidney transplant in one of 4 university hospitals in the Honam area. A structured questionnaire was used and the collected data were analyzed for fitness, using the LISREL program.

    Results

    This model was concise and extensive in predicting the quality of life of kidney transplant recipients.

    Conclusion

    The research verified the factors influencing quality of life for kidney transplant recipients and it verified that direct factors such as perception of health state, compliance, self-efficacy, stress and indirect factors such as self-efficacy and social support can be important factors to predict the quality of life for recipients. Moreover, those variables represent 87% of variance in explaining quality of life in a prediction model so that the variables can be utilized to predict quality of life for kidney transplant recipients.

    Keywords
    Kidney transplant recipient; Quality of life

    Figures

    Figure 1
    Path diagram for hypothetical model.

    *p<.05; **p<.01. χ5=Medical personnel support; χ6=Family support.

    Figure 2
    Path diagram for modified model.

    *p<.05; **p<.01. χ5=Medical personnel support; χ6=Family support.

    Tables

    Table 1
    Descriptive Statistics of Observed Variables (N=218)

    Table 2
    Fitness Index for the Modified and Hypothetical Model (N=218)

    Table 3
    Lisrel Estimates for the Modified Model and Direct, Indirect & Total Effects (N=218)

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    MeSH Terms
    Adult
    Female
    Health Status
    Humans
    Immunosuppressive Agents/therapeutic use
    Kidney Transplantation/psychology*
    Male
    Middle Aged
    Models, Psychological
    Quality of Life/psychology*
    Questionnaires
    Self Efficacy
    Social Support
    Stress, Psychological/prevention & control
    Metrics
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