title: Stress and quality of life in the renal transplant patient: a preliminary investigation.
abstract: End-stage renal disease is a chronic condition which reduces the life-span of its victims. At present there is no cure. Renal transplantation, currently the treatment of choice for many patients, is potentially associated with a number of drawbacks: constant risk of rejection, especially during the first six months, the need to comply with a complex regime of medication capable of producing pronounced side-effects and need for ongoing medical supervision. Despite these problems, little research has been undertake with patients following renal transplantation. The aim of the small-scale, exploratory study reported here was to explore patients' perceptions of stress and quality of life at different stages following a first, functioning renal graft: within six months, between one and five years and over five years later (n = 10 in each group). From the results it became apparent that patients had a number of concerns, of which fear of rejection was the most frequently mentioned, followed by stress generated through altered body image (a product of immunosuppressive therapy). Nevertheless, all reported a significant increase in quality of life after transplantation, although improvement was least marked in patients in the intermediate group (1-5 years after surgery) who also experienced most stress. A larger scale study is recommended to increase the validity of findings which clinicians could then use to design patient interventions to enhance quality of care and quality of life.
authors.affiliation: King's Healthcare NHS Trust, Dulwich Hospital, London, England.
authors.forename: M
authors.initials: M
authors.lastname: Fallon
authors.forename: D
authors.initials: D
authors.lastname: Gould
authors.forename: S P
authors.initials: SP
authors.lastname: Wainwright
mesh_terms: D001294:Attitude to Health; D001828:Body Image; D005239:Fear; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D008137:Longitudinal Studies; D008297:Male; D015404:Nursing Methodology Research; D010349:Patient Compliance; D011788:Quality of Life; D013315:Stress, Psychological / Q000523:psychology*