Social participation after successful kidney transplantation

Article English OPEN
Van der Mei, Sijrike F. ; Van Sonderen, Eric L. P. ; Van Son, Willem J. ; De Jong, Paul E. ; Groothoff, Johan W. ; Van den Heuvel, Wim J. A. (2007)
Purpose. To explore and describe the degree of social participation after kidney transplantation and to examine associated factors. Method. A cross-sectional study on 239 adult patients 1-7.3 years after kidney transplantation was performed via in-home interviews on participation in obligatory activities (i.e., employment, education, household tasks) and leisure activities (avolunteer work, assisting others, recreation, sports, clubs/associations, socializing, going out). Results. Kidney transplantation patients had a lower educational level, spent less time on obligatory activities, had part-time jobs more often, and participated less in sports compared to a control group from the general population. No difference was found in socializing, church attendance, volunteer work and going out. Multivariate regression analysis showed a negative association of age and a positive association of educational status and time since transplantation with obligatory participation. Multivariate logistic regression showed positive associations of education and time since transplantation with volunteer work; age was negatively and education positively associated with sports and going out, whereas living arrangement was also associated with going out. Conclusions. Although kidney transplantation patients participate less in employment and sports, they do participate in household tasks, volunteer work, going out, socializing and other leisure activities. Participation is associated with factors as age, educational status and time since transplantation.
  • References (49)
    49 references, page 1 of 5

    1. Stengel B, Billon S, van Dijk PC, et al. Trends in the incidence of renal replacement therapy for end-stage renal disease in Europe, 1990 - 1999. Nephrol, Dialysis Transplant 2003;18:1824 - 1833.

    2. Moeller S, Gioberge S, Brown G. ESRD patients in 2001: Global overview of patients, treatment modalities and development trends. Nephrol, Dialysis Transplant 2002;17: 2071 - 2076.

    3. Roderick P, Davies R, Jones C, Feest T, Smith S, Farrington K. Simulation model of renal replacement therapy: Predicting future demand in England. Nephrol, Dialysis Transplant 2004;19:692 - 701.

    4. Merkus MP, Jager KJ, Dekker FW, de Haan RJ, Boeschoten EW, Krediet RT. Physical symptoms and quality of life in patients on chronic dialysis: results of The Netherlands Cooperative Study on Adequacy of Dialysis (NECOSAD). Nephrol, Dialysis Transplant 1999;14:1163 - 1170.

    5. Williams MA, Sklar AH, Burright RG, Donovick PJ. Temporal effects of dialysis on cognitive functioning in patients with ESRD. Am J Kidney Dis 2004;43:705 - 711.

    6. Heiwe S, Clyne N, Dahlgren MA. Living with chronic renal failure: Patients' experiences of their physical and functional capacity. Physiother Res Int 2003;8:167 - 177.

    7. Tawney KW, Tawney PJ, Kovach J. Disablement and rehabilitation in end-stage renal disease. Semin Dialysis 2003;16:447 - 452.

    8. Kaplan B, Meier-Kriesche HU. Renal transplantation: A half century of success and the long road ahead. J Am Soc Nephrol 2004;15:3270 - 3271.

    9. Wolfe RA, Ashby VB, Milford EL, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Eng J Med 1999;341:1725 - 1730.

    10. Luk WS. The HRQoL of renal transplant patients. J Clin Nursing 2004;13:201 - 209.

  • Metrics
    No metrics available
Share - Bookmark