Show simple item record

dc.contributor.advisorStuifbergen, Alexa K.en
dc.creatorWright, Kathy Bakeren
dc.date.accessioned2008-08-28T21:45:22Zen
dc.date.available2008-08-28T21:45:22Zen
dc.date.issued2003en
dc.identifierb57476408en
dc.identifier.urihttp://hdl.handle.net/2152/1082en
dc.descriptiontexten
dc.description.abstractThis cross sectional study described the relationship between quality of life (QOL) and self-transcendence (ST) in liver transplant recipients. Self-transcendence is a dynamic process reflecting spiritual growth and maturity and a broadening of personal perspective during challenging life experiences. Illness distress, fatigue, age, gender, marital status, education, and time-since-transplant were also investigated relative to QOL. Participants (n = 471) were primarily Caucasian (86.5%), male (53.5%), married (73.5%), religiously affiliated (93.4%), and perceived their health status as "good" (48%) or "excellent" (19%). Participants with the highest ST scores (M = 3.36, S.D. = .37, possible range 1-4) were female, older (65-79 years), or recently transplanted (< 2 years). Females reported significantly higher ST scores than males. Participants with the highest QOL scores (M = 23.73, S.D. = 4.88, possible range = 0-30) were female, older (65-79 years), and transplanted 3-5 years ago. Strong relationships existed between QOL and ST scores (r = .51, p < .01), illness distress and fatigue scores (r = .51, p < .01), and QOL and illness distress scores (r = -.71, p < .01). Moderate relationships existed between QOL and fatigue scores (r = -.45, p < .01) and ST and illness distress scores (r = -.36, p < .01). Self-transcendence and fatigue scale scores had a weak relationship (r = -.20, p < .01). Illness distress scores were low (M = 15.30; SD = 13.47, possible range 0-88) as were fatigue scores (M = 4.23; SD = 2.04, possible range 1-10). Regression analysis revealed illness distress, ST, fatigue, and age accounted for 60% of the variance in QOL scores. Most respondents reported post-transplant QOL as better than expected. Comorbidities had a major impact on post-transplant QOL. Financial resources were adequate. Multiple factors were cited as important to QOL including family, friends, health, spirituality, productivity, happiness, and job security. This study suggests self-rated QOL and ST are high for liver transplant recipients while illness distress and fatigue are low. Females have significantly higher ST scores than males. Self-transcendence, illness distress, fatigue, and age are important factors related to QOL and should be further investigated.
dc.format.mediumelectronicen
dc.language.isoengen
dc.rightsCopyright is held by the author. Presentation of this material on the Libraries' web site by University Libraries, The University of Texas at Austin was made possible under a limited license grant from the author who has retained all copyrights in the works.en
dc.subject.lcshLiver--Transplantationen
dc.subject.lcshQuality of lifeen
dc.titleQuality of life, self-transcendence, illness distress, and fatigue in liver transplant recipientsen
dc.description.departmentNursingen
dc.identifier.oclc57192621en
dc.type.genreThesisen
thesis.degree.departmentNursing, School ofen
thesis.degree.disciplineNursingen
thesis.degree.grantorThe University of Texas at Austinen
thesis.degree.levelDoctoralen
thesis.degree.nameDoctor of Philosophyen


Files in this item

Icon

This item appears in the following Collection(s)

Show simple item record