J Korean Acad Fundam Nurs.  2007 Aug;14(3):340-350.

A Structural Model on Quality of Life for Recipients of Liver Transplants

• Kim EM
• Kim KS

Abstract

PURPOSE: This study was done to construct a quality of life (QOL) model for recipients of a liver transplant. METHOD: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program.
RESULTS
Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance.
CONCLUSION
This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.

Keyword

Liver transplantation; Quality of life; Self efficacy; Depression

MeSH Terms

Depression
Hospitals, University
Liver Transplantation
Liver*
Models, Structural*
Models, Theoretical
Quality of Life*
Questionnaires
Self Efficacy
Uncertainty