Quality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis

ABSTRACT Objective: to compare the quality of life (QoL) of patients under dialysis and after kidney transplant; correlate the QoL of transplant patients to sociodemographic, morbid and spirituality/religiosity variables. Method: prospective study with a quantitative approach, with a sample of 27 patients who underwent peritoneal dialysis or dialysis undergoing kidney transplant. QoL and spirituality were assessed by the KDQOL-SF and WHOQOL-SRPB tools, being correlated with sociodemographic and economic variables. Results: the dimensions of total mental component, kidney disease effects and kidney disease burden showed significant improvement in the post-transplant period, with p <0.0004. There was a significant correlation between four dimensions of spirituality and seven dimensions of QoL; p ranged from 0.04 to 0.006. Conclusion: there was a significant improvement in QoL in the post-transplant period. The dimensions of spirituality: wholeness and integration, spiritual connection, wonder and inner peace were positively correlated with seven dimensions of QoL.

摘要
目的：比较透析治疗患者与肾移植术后患者的生活质量（Quality of Life，QoL），并分析肾移植患者的生活质量与社会人口学、疾病相关及精神性/宗教信仰变量之间的相关性。
方法：本研究为采用定量研究方法的前瞻性研究，纳入27例接受腹膜透析或透析后接受肾移植的患者。采用肾脏疾病生活质量简表（Kidney Disease Quality of Life Short Form，KDQOL-SF）与世界卫生组织精神性、宗教与个人信仰量表（WHOQOL-Spirituality, Religion and Personal Beliefs，WHOQOL-SRPB）分别评估患者的生活质量与精神性水平，并分析其与社会人口学及经济变量的相关性。
结果：总心理成分维度、肾脏疾病影响维度及肾脏疾病负担维度在肾移植术后均出现显著改善，p值小于0.0004。4个精神性维度与7个生活质量维度间存在显著相关性，p值范围为0.04至0.006。
结论：肾移植术后患者的生活质量存在显著改善。精神性维度中的完整性与整合性、精神联结、敬畏感及内心平和均与7个生活质量维度呈正相关。