title: Lifestyle changes in heart transplant recipients.
abstract: The purpose of this study was to understand the lifestyle; examine the relationships among lifestyle, medical factors, and stress status; and determine the predictors of better lifestyle in heart transplant recipients in Taiwan. A prospective design with convenience sampling was used. Data were collected through the Health-Promoting Lifestyle Profile-II and demographic questionnaires, which included personal information, stress status, and medical information. Pearson correlations, 1-way analysis of variance, independent t tests, paired t tests, and hierarchical regression were used to analyze the factors related to better lifestyle. A total of 80 heart transplant recipients participated. The mean score for lifestyle decreased from baseline to 3 months and was even lower at 6 months. Nevertheless, the trend for some participants was the opposite-their lifestyle improved over the 6-month period after baseline. Notably, the trend for each of the 6 subscales was not consistent with the mean of the total score. Stress status accounted for 12.8% of lifestyle. When stress status was combined with family income and creatinine, the 3 factors accounted for 32.2% of lifestyle. This study demonstrated that maintenance of a healthy lifestyle fluctuates after transplantation. Demographic factors and stress status can help to identify people who are more likely to have a poor lifestyle.
authors.affiliation: Cardiac Intensive Care Unit of Heart Center of Chen-Hsin Hospital, Taipei, Taiwan.
authors.forename: Yi-Chen
authors.initials: YC
authors.lastname: Wu
authors.affiliation: National Taipei University of Nursing and Health Science, Taipei, Taiwan.|Tungs' Taichung MetroHarbor Hospital, Taipei, Taiwan.
authors.forename: Heng-Hsin
authors.initials: HH
authors.lastname: Tung
authors.affiliation: Taipei Medical University, College of Nursing, Taipei, Taiwan.
authors.forename: Fu-Chih
authors.initials: FC
authors.lastname: Lai
authors.affiliation: Heart Center of Chen-Hsin Hospital, Taipei, Taiwan.
authors.forename: Jeng
authors.initials: J
authors.lastname: Wei
authors.affiliation: National Taipei University of Nursing and Health Science, Taipei, Taiwan.
authors.forename: Shu-Yuan
authors.initials: SY
authors.lastname: Liang
authors.affiliation: National Taipei University of Nursing and Health Science, Taipei, Taiwan.
authors.forename: Shu-Fang
authors.initials: SF
authors.lastname: Wu
mesh_terms: D000328:Adult; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: heart transplant; lifestyle; nursing; stress status