The relationship between status of fatigue and compliance,quality of life in patients after liver transplantation / 中国实用护理杂志

ABSTRACT

Objective To investigate the relationship between status of fatigue and compliance, quality of life in patients after liver transplantation, which in order to provide a scientific basis for improving compliance and quality of life of them. Methods One hundred and four liver transplant recipients who received liver transplantation from Jun 2012 to Jun 2015 were recruited in this study.The status of fatigue, compliance and quality of life of these patients were assessed by Fatigue Assessment Instrument(FAI),compliance scale and the MOS 36-item short-form health survey(SF-36)respectively. Spearman correlation coefficients were used to analyze the relationship between status of fatigue and compliance, quality of life. Results The degree of fatigue in patients after liver transplantation was significantly higher than that in the general population and patients with coronary heart disease. Except the fatigue factor 4, the fatigue factor 1, factor 2 and factor 3 scores of the patients at the end of the 12 month after liver transplantation were lower than those at the end of the 1 month and 6 months after liver transplantation(P<0.05).There was no significant difference in the scores of fatigue factors between 1 and 6 months after liver transplantation(P>0.05).The patients were graded according to the FAI fatigue rating scale factor 1 score,of which 63 cases were moderate fatigue,and the other was severe fatigue(n=41).The Results showed that the total score of compliance, the total score of SF-36 physical health and the total score of SF-36 mental health of the moderate fatigue group were higher than that of the severe fatigue group (P<0.05).Spearman correlation coefficients showed that all fatigue factors of patients post-transplantation was negatively correlated with quality of life and compliance(P<0.05). Conclusions There is high level of fatigue in patients after liver transplantation, and which negatively correlated with quality of life and compliance.Nursing staff should comprehend the fatigue status of patients after liver transplantation and relieve timely.Which could improve the quality of life of patients post-transplantation.