THE QUALITY OF LIFE IN RENAL TRANSPLANT PATIENTS ANALYSIS OF CASES WITH POOR FUNCTIONING GRAFT

We evaluated the quality of life in renal transplant patients with poor functioning graft. Sixty-eight cases with functioning grafts and 44 patients on re-hemodialysis after graft rejection were assessed by medical questionnaires. Seventy-three subjects of total 112 (65.2%) were responded by mail to...

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Published inJapanese Journal of National Medical Services Vol. 50; no. 4; pp. 264 - 269
Main Authors KENMOCHI, Takashi, KAMURA, Kouichi, HACHISU, Tadashi, YAMADA, Hideo, MATSUMOTO, Yasuhisa, SAKAMOTO, Kaoru, KASHIWABARA, Hidehiko, MATSUSHITA, Kazuyuki, YOKOYAMA, Takeo, YAMADA, Kenichi, MAEDA, Hironori, MATSUMOTO, Manabu
Format Journal Article
LanguageJapanese
Published Japanese Society of National Medical Services 20.04.1996
一般社団法人 国立医療学会
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ISSN0021-1699
1884-8729
DOI10.11261/iryo1946.50.264

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Abstract We evaluated the quality of life in renal transplant patients with poor functioning graft. Sixty-eight cases with functioning grafts and 44 patients on re-hemodialysis after graft rejection were assessed by medical questionnaires. Seventy-three subjects of total 112 (65.2%) were responded by mail to the survey concerning their quality of life. The responses were that they were totally satisfied with their life. Furthermore, in the 36 cases receiving re-hemodialysis after graft rejection, the influences of hypertension, hyperlipidemia, hyperuricemia, and diabetes mellitus were studied on the duration with poor graft function. The graft survival time from the point whose serum creatinine was increased beyond 3.0mg/dl put on re-hemodialysis, was relatively shortened when they have those complications. It seems to be nescessary for the renal transplant patients to avoid such complications to achieve longer graft survival and enjoy higher quality of life, even for the patients with poor functioning graft.
AbstractList We evaluated the quality of life in renal transplant patients with poor functioning graft. Sixty-eight cases with functioning grafts and 44 patients on re-hemodialysis after graft rejection were assessed by medical questionnaires. Seventy-three subjects of total 112 (65.2%) were responded by mail to the survey concerning their quality of life. The responses were that they were totally satisfied with their life. Furthermore, in the 36 cases receiving re-hemodialysis after graft rejection, the influences of hypertension, hyperlipidemia, hyperuricemia, and diabetes mellitus were studied on the duration with poor graft function. The graft survival time from the point whose serum creatinine was increased beyond 3.0mg/dl put on re-hemodialysis, was relatively shortened when they have those complications. It seems to be nescessary for the renal transplant patients to avoid such complications to achieve longer graft survival and enjoy higher quality of life, even for the patients with poor functioning graft.
We evaluated the quality of life in renal transplant patients with poor functioning graft. Sixty-eight cases with functioning grafts and 44 patients on re-hemodialysis after graft rejection were assessed by medical questionnaires. Seventy-three subjects of total 112 (65.2%) were responded by mail to the survey concerning their quality of life. The responses were that they were totally satisfied with their life.Furthermore, in the 36 cases receiving re-hemodialysis after graft rejection, the influences of hypertension, hyperlipidemia, hyperuricemia, and diabetes mellitus were studied on the duration with poor graft function. The graft survival time from the point whose serum creatinine was increased beyond 3.0mg/dl put on re-hemodialysis, was relatively shortened when they have those complications. It seems to be nescessary for the renal transplant patients to avoid such complications to achieve longer graft survival and enjoy higher quality of life, even for the patients with poor functioning graft. 移植腎機能が比較的不良ながらも生着している期間のQOLについて検討した. 当院で行った腎移植患者を対象に移植腎生着中の68名と移植腎機能廃絶後透析中の44名計112名を対象にアンケート調査を行い医学的情報と併せて検討した. アンケートは73名65.2%から回答が得られ, 移植腎機能不良時においても入院などで生活が制限されない限りQOLは比較的保たれていることが判明した. さらに, 透析再導入した36例について移植腎機能低下の期間(血清クレアチニン値≧3.0mg/dl以上から透析に至るまで)における合併症の関与を解析した. 高血圧・高脂血症・高尿酸血症・糖尿病などの合併により透析までの期間が短縮する傾向がみられた.移植腎機能不良例においても入院となる合併症を避け, 疾患を治療することによるきめ細かな健康管理によって生着期間の延長をはかることがQOLの維持・向上に重要と思われた.
Author MATSUMOTO, Manabu
MAEDA, Hironori
HACHISU, Tadashi
MATSUMOTO, Yasuhisa
KASHIWABARA, Hidehiko
YAMADA, Kenichi
SAKAMOTO, Kaoru
YAMADA, Hideo
KAMURA, Kouichi
MATSUSHITA, Kazuyuki
YOKOYAMA, Takeo
KENMOCHI, Takashi
Author_FL 山田 研一
松下 一之
松本 康久
香村 衡一
前田 博教
柏原 英彦
横山 健郎
坂本 薫
松本 学
山田 英夫
剣持 敬
蜂巣 忠
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DocumentTitleAlternate 移植腎機能不良時期の検討
ANALYSIS OF CASES WITH POOR FUNCTIONING GRAFT
腎移植患者のQOL 移植腎機能不良時期の検討
DocumentTitle_FL 腎移植患者のQOL 移植腎機能不良時期の検討
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一般社団法人 国立医療学会
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References 1) 日本移植学会: 腎移植臨床登録集計報告移植, 30: 428, 1995
4) 絹川常郎他: 腎移植5年以上経過例の現況と問題点-合併症と社会復帰-. 移植, 24: 344, 1989
2) 坂本薫他: 腎移植10年以上生着例の検討-生活上の問題点-. 医療, 48: 901, 1994
3) 安村忠樹他: 移植腎機能廃絶例における社会復帰の現況と再移植. 移植, 23: 274, 1988
References_xml – reference: 3) 安村忠樹他: 移植腎機能廃絶例における社会復帰の現況と再移植. 移植, 23: 274, 1988
– reference: 4) 絹川常郎他: 腎移植5年以上経過例の現況と問題点-合併症と社会復帰-. 移植, 24: 344, 1989
– reference: 2) 坂本薫他: 腎移植10年以上生着例の検討-生活上の問題点-. 医療, 48: 901, 1994
– reference: 1) 日本移植学会: 腎移植臨床登録集計報告移植, 30: 428, 1995
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Snippet We evaluated the quality of life in renal transplant patients with poor functioning graft. Sixty-eight cases with functioning grafts and 44 patients on...
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StartPage 264
SubjectTerms complication
kidney transplant
poor graft function
QOL
quality of life (QOL)
questionnaires
アンケート
合併症
移植腎機能不良
腎移植
Subtitle ANALYSIS OF CASES WITH POOR FUNCTIONING GRAFT
Title THE QUALITY OF LIFE IN RENAL TRANSPLANT PATIENTS
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