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Psychological Well-Being in Patients After Preemptive Kidney Transplantation
B Bzoma1, A Walerzak2, A Dębska-Ślizień1
1Department of Nephrology, Transplantology, and Internal Medicine, Gdansk Medical University, Gdansk, Poland.
Transplantation Proceedings
|August 7, 2016
Summary
Preemptive kidney transplantation (PKT) patients reported lower illness acceptance and life satisfaction compared to those transplanted after dialysis (PTD). PKT recipients also showed higher trait anxiety, indicating a need for psychological support.
Area of Science:
- Nephrology
- Transplantation immunology
- Psychological medicine
Background:
- Preemptive kidney transplantation (PKT) offers superior survival rates and avoids dialysis complications compared to transplantation after dialysis (PTD).
- Psychological well-being in PKT recipients remains an area requiring further investigation.
- Understanding the psychological impact of PKT is crucial for comprehensive patient care.
Purpose of the Study:
- To compare illness acceptance, life satisfaction, and anxiety levels between patients who received preemptive kidney transplantation (PET) and those transplanted after dialysis (PTD).
Main Methods:
- A comparative study involving 23 pairs of PET and PTD patients matched by donor.
- Psychological assessments included the Acceptance of Illness Scale, Satisfaction With Life Scale, and State-Trait Anxiety Inventory.
- Patients were evaluated between 7 days and 5 years post-transplantation.
Main Results:
- PET recipients exhibited significantly lower acceptance of illness and life satisfaction compared to PTD patients (P < .05).
- A significant difference was observed in trait anxiety levels between the groups, but not in state anxiety.
- No significant differences were found in sex, disease type, rejection incidence, surgical complications, or graft function, although PTD patients had more delayed graft function.
Conclusions:
- Despite medical advantages, preemptive kidney transplantation can lead to psychological challenges, including lower illness acceptance and life satisfaction.
- Patients undergoing PKT may experience unexpected psychological discomfort, impacting their overall well-being.
- Enhanced psychological support is recommended during the pre-transplant evaluation and post-operative follow-up for PKT patients.
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