Quality of lifePatterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation
Section snippets
Sample
Patients who participated in this research were from a large, multi-site, prospective study of QOL outcomes between 5 and 10 years after heart transplantation. The non-random sample for our study was drawn from patients (n = 1,437) transplanted between July 1, 1990 and June 30, 1999 at four medical centers in the USA (Figure 1). There were 884 patients between 5 and 10 years post–heart transplantation who were potentially eligible for recruitment into the study. The 553 patients who were not
Demographic and clinical characteristics
The 555 enrolled patients who completed booklets of questionnaires were approximately 54 years of age at time of transplant (range 21 to 75 years). Of these patients, 78% were men, 88% were white, 79% were married and 59% had more than a high school education (mean 14 ± 2.9 years). Demographic and clinical characteristics of enrolled patients (n = 597) were compared with characteristics of non-enrolled patients who were contacted and met study entry criteria (n = 127) (Table 3). Significant
Discussion
At 5 to 10 years after heart transplantation, recipients reported high levels of satisfaction with overall QOL and with health-related QOL that was stable over the 5-year period. These findings, which are similar to those in other studies of QOL,1, 6, 28, 29, 30 suggest that patients are generally content with their lives long term after heart transplantation. Predictors of satisfaction with QOL included a variety of biopsychosocial variables. At 5 to 10 years after transplantation, predictors
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Supported by the NIH (National Institute of Nursing Research, R01 NR005200); a grant-in-aid from the College of Nursing, Rush University; and intramural funding from the Rush Heart Institute, Rush University Medical Center.