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 in | Japanese Journal of National Medical Services Vol. 50; no. 4; pp. 264 - 269 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of National Medical Services
20.04.1996
一般社団法人 国立医療学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-1699 1884-8729 |
| DOI | 10.11261/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. |
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| 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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| 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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| 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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