Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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A Meta-Analysis on Factors Related to Quality of Life in Heart Transplant Recipients

심장이식 수혜자의 삶의 질 관련 요인에 대한 메타분석

  • Jang, Mi Ra (Department of Nursing, Samsung Medical Center) ;
  • Im, Se Rah (Department of Nursing, Samsung Medical Center) ;
  • Choi, Mona (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 장미라 (삼성서울병원) ;
  • 임세라 (삼성서울병원) ;
  • 최모나 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2019.09.30
  • Accepted : 2019.10.25
  • Published : 2019.12.31
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Abstract

Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

Keywords

References

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