Health‐related quality of life and psychological indicators of thriving 15–19 years after heart or lung transplantation

Dew, Mary Amanda; DiMartini, Andrea F.; Posluszny, Donna M.; Myaskovsky, Larissa; Switzer, Galen E.; Puttarajappa, Chethan; Hickey, Gavin; Sánchez, Pablo G.; Dabbs, Annette DeVito

doi:10.1111/ctr.14768

Cited by 4 publications

(2 citation statements)

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“…This finding has also been supported in some reviews ( 42 , 43 ). Nevertheless, a few studies showed some patients were at a low level of QOL after LTx, which were likely due to the interaction of various factors including physical, psychological, and social factors ( 11 , 44 ). Our study mainly focused on identifying the LTx patients at risk for a low QOL using LPA, and determined the multidimensional predictors associated with the specific profile membership of QOL.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life and its association with predictors in lung transplant recipients: a latent profile analysis

Song,

Luo,

Liu

et al. 2024

Front. Public Health

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BackgroundsImproving quality of life (QOL) is one of the main aims of lung transplantation (LTx). There is a need to identify those who have poor quality of life early. However, research addressing inter individual quality of life variability among them is lacking. This study aims to identify group patterns in quality of life among lung transplant recipients and examine the predictors associated with quality of life subgroups.MethodsIn total, 173 lung transplant recipients were recruited from one hospital in Guangdong Province between September 2022 and August 2023. They were assessed using the Lung Transplant Quality of Life scale (LT-QOL), Mindful Attention Awareness Scale (MAAS), Life Orientation Test-Revised scale (LOT-R), and Positive and Negative Affect Scale (PANAS). Latent profile analysis was used to identify QOL subtypes, and logistic regression analysis was used to examine the associations between latent profiles and sociodemographic and psychosocial characteristics.ResultsTwo distinct QOL profiles were identified: “low HRQOL” profile [N = 53 (30.94%)] and “high HRQOL” profile [N = 120 (69.06%)]. Single lung transplant recipients, and patients who reported post-transplant infection, high levels of negative emotion or low levels of mindfulness and optimism were significantly correlated with the low QOL subgroup.ConclusionUsing the domains of the LT-QOL scale, two profiles were identified among the lung transplant recipients. Our findings highlighted that targeted intervention should be developed based on the characteristics of each latent class, and timely attention must be paid to patients who have undergone single lung transplantation, have had a hospital readmission due to infection, exhibit low levels of optimism, low levels of mindfulness or high negative emotions.

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Section: Discussionmentioning

confidence: 99%

“…Conversely, those outcomes were negatively associated with QOL, creating a vicious cycle that ultimately may lead to a decreased life expectancy ( 10 ). Hence, ongoing QOL evaluation is required, and it is necessary to identify patients with poor QOL to provide supportive care ( 11 ).…”

Section: Introductionmentioning

confidence: 99%