Coping in relation to perceived threat of the risk of graft rejection and Health-Related Quality of Life of organ transplant recipients
The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft...
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Published in | Scandinavian journal of caring sciences Vol. 27; no. 4; pp. 935 - 944 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Sweden
Blackwell Publishing Ltd
01.12.2013
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Abstract | The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft rejection among OTRs and to investigate relations between coping and perceived threat as well as Health‐Related Quality of Life (HRQoL). A second aim was to test the General Coping Questionnaire (GCQ) for reliability in relation to the threat of the risk of graft rejection. Three different questionnaires, the Perceived Threat of the Risk of Graft Rejection (PTGR), GCQ and the SF‐36, were mailed to 229 OTRs between 19 and 65 years old. Patients were transplanted with a kidney, a liver or a heart and/or a lung. All patients with follow‐up time of 1 year ± 3 months and 3 years ± 3 months were included. With an 81% response rate, the study comprised of 185 OTRs. The differences between the transplanted organ groups in their use of coping were small. Likewise, coping related weakly with sex, age, time since transplantation and whether they had experienced graft rejections or not. The respondents tended in general to use more of the ‘positive’ coping (strategies related to positive well‐being). The measured coping in relation to the perceived threat of the risk of graft rejection seem to be relatively stable over time and quite independent of demographic and clinical variables. |
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AbstractList | The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft rejection among OTRs and to investigate relations between coping and perceived threat as well as Health-Related Quality of Life (HRQoL). A second aim was to test the General Coping Questionnaire (GCQ) for reliability in relation to the threat of the risk of graft rejection. Three different questionnaires, the Perceived Threat of the Risk of Graft Rejection (PTGR), GCQ and the SF-36, were mailed to 229 OTRs between 19 and 65 years old. Patients were transplanted with a kidney, a liver or a heart and/or a lung. All patients with follow-up time of 1 year ± 3 months and 3 years ± 3 months were included. With an 81% response rate, the study comprised of 185 OTRs. The differences between the transplanted organ groups in their use of coping were small. Likewise, coping related weakly with sex, age, time since transplantation and whether they had experienced graft rejections or not. The respondents tended in general to use more of the 'positive' coping (strategies related to positive well-being). The measured coping in relation to the perceived threat of the risk of graft rejection seem to be relatively stable over time and quite independent of demographic and clinical variables. The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft rejection among OTRs and to investigate relations between coping and perceived threat as well as Health‐Related Quality of Life (HRQoL). A second aim was to test the General Coping Questionnaire (GCQ) for reliability in relation to the threat of the risk of graft rejection. Three different questionnaires, the Perceived Threat of the Risk of Graft Rejection (PTGR), GCQ and the SF‐36, were mailed to 229 OTRs between 19 and 65 years old. Patients were transplanted with a kidney, a liver or a heart and/or a lung. All patients with follow‐up time of 1 year ± 3 months and 3 years ± 3 months were included. With an 81% response rate, the study comprised of 185 OTRs. The differences between the transplanted organ groups in their use of coping were small. Likewise, coping related weakly with sex, age, time since transplantation and whether they had experienced graft rejections or not. The respondents tended in general to use more of the ‘positive’ coping (strategies related to positive well‐being). The measured coping in relation to the perceived threat of the risk of graft rejection seem to be relatively stable over time and quite independent of demographic and clinical variables. The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft rejection among OTRs and to investigate relations between coping and perceived threat as well as Health-Related Quality of Life (HRQoL). A second aim was to test the General Coping Questionnaire (GCQ) for reliability in relation to the threat of the risk of graft rejection. Three different questionnaires, the Perceived Threat of the Risk of Graft Rejection (PTGR), GCQ and the SF-36, were mailed to 229 OTRs between 19 and 65 years old. Patients were transplanted with a kidney, a liver or a heart and/or a lung. All patients with follow-up time of 1 year ± 3 months and 3 years ± 3 months were included. With an 81% response rate, the study comprised of 185 OTRs. The differences between the transplanted organ groups in their use of coping were small. Likewise, coping related weakly with sex, age, time since transplantation and whether they had experienced graft rejections or not. The respondents tended in general to use more of the ‘ ;positive coping (strategies related to positive well-being). The measured coping in relation to the perceived threat of the risk of graft rejection seem to be relatively stable over time and quite independent of demographic and clinical variables. 36 references The most serious risk connected with transplantations besides infection is graft rejection. Organ transplant recipients (OTRs) perceive graft rejection as a stress factor and a threat. The primary aim of the present study was to examine types of coping used to handle the threat of the risk of graft rejection among OTRs and to investigate relations between coping and perceived threat as well as Health-Related Quality of Life (HRQoL). A second aim was to test the General Coping Questionnaire (GCQ) for reliability in relation to the threat of the risk of graft rejection. Three different questionnaires, the Perceived Threat of the Risk of Graft Rejection (PTGR), GCQ and the SF-36, were mailed to 229 OTRs between 19 and 65years old. Patients were transplanted with a kidney, a liver or a heart and/or a lung. All patients with follow-up time of 1year +/- 3months and 3years +/- 3months were included. With an 81% response rate, the study comprised of 185 OTRs. The differences between the transplanted organ groups in their use of coping were small. Likewise, coping related weakly with sex, age, time since transplantation and whether they had experienced graft rejections or not. The respondents tended in general to use more of the positive' coping (strategies related to positive well-being). The measured coping in relation to the perceived threat of the risk of graft rejection seem to be relatively stable over time and quite independent of demographic and clinical variables. |
Author | Nilsson, Madeleine Persson, Lars-Olof Lennerling, Annette Forsberg, Anna |
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References_xml | – volume: 63 start-page: 989 year: 1992 end-page: 1003 article-title: modeling cognitive adaptation: a longitudinal investigation of the impact of individual differences and coping on college adjustment and performance publication-title: J Pers Soc Psychol – volume: 6 start-page: 23 year: 2009 end-page: 36 article-title: Orthotopic liver transplantation and what to do during follow‐up: recommendations for the practioner publication-title: Gastroenterol & Hepatol – volume: 25 start-page: 562 year: 1997 end-page: 70 article-title: Stress and quality of life in the renal transplant patient: a preliminary investigation publication-title: J Adv Nurs – volume: 28 start-page: 1007 year: 2009 end-page: 22 article-title: Registry of the International Society for Heart and Lung Transplantation: Twenty‐sixth Official Adult Heart Transplant Report‐2009 publication-title: J Heart Lung Transplant – volume: 36 start-page: 313 year: 1999 end-page: 22 article-title: Quality of life, coping and concerns i Chinese patients after renal transplantation publication-title: Int J Nurs Stud – volume: 30 start-page: 473 year: 1992 end-page: 83 article-title: The SF‐36 Health Status Survey: I. Conceptual framework and item selection publication-title: Med Care – volume: 2 start-page: 113 year: 1998 end-page: 8 article-title: Assessment of quality of life and related stressors following liver transplantation publication-title: J Transpl Coord – volume: 32 start-page: 327 year: 2000 end-page: 34 article-title: Experiencing liver transplantation: a phenomenological approach publication-title: J Adv Nurs – volume: 4 start-page: 1507 year: 1999 end-page: 15 article-title: Integrating response shift into health‐related quality of life research: a theoretical model publication-title: Soc Sci Med – volume: 15 start-page: 30 year: 2008 end-page: 39 article-title: The dissection of risk: a concept analysis publication-title: Nurs Inq – volume: 32 start-page: 72 year: 2006 end-page: 86 article-title: Coping and social support as mediators of the relation of optimism to depressive symptoms among black college students publication-title: JBP – volume: 45 start-page: 47 year: 2004 end-page: 52 article-title: Coping strategies of people with kidney transplants publication-title: J Adv Nurs – volume: 13 start-page: 201 year: 2003 end-page: 9 article-title: The HRQoL of renal transplant patients publication-title: J Clin Nurs – year: 1994 – volume: 146 start-page: 972 year: 1989 end-page: 82 article-title: Psychiatric aspects of organ transplantation publication-title: Am J Psychiatry – volume: 14 start-page: 278 year: 2009 article-title: “I'm Cured But….”: Perceptions of Illness Following Treatment publication-title: J Health Psychol – volume: 63 start-page: 195 year: 2004 end-page: 203 article-title: Patients with type 2 diabetes aged 35‐64 years at four primary health care centres in Stockholm County, Sweden. Prevalence and complications in relation to gender and socio‐economic status publication-title: Diabetes Res Clin Pract – year: 1984 – volume: 23 start-page: 792 year: 2009 end-page: 800 article-title: Coping with myocardial infarction: evaluation of a coping questionnaire publication-title: Scand J Caring Sci – volume: 50 start-page: 975 year: 1993 end-page: 90 article-title: A psychobiological model of temperament and character publication-title: Arch Gen Psychiatry – volume: 36 start-page: 97 year: 2002 end-page: 103 article-title: A psychobiological approach to personality: examination within anxious outpatients publication-title: J Psychiatr Res – volume: 40 start-page: 473 year: 1987 end-page: 80 article-title: Standards for validating health measures: definitions and contents publication-title: J Chronic Dis – volume: 72 start-page: 269 year: 2007 end-page: 78 article-title: Coping strategies in immigrant men and women with type 2 diabetes publication-title: Diabetes Res Clin Pract – volume: 12 start-page: 192 year: 2005 end-page: 9 article-title: Percieved threat in complience and adherence research publication-title: Nurs Inq – volume: 16 start-page: 1 year: 2002 end-page: 8 article-title: Liver transplant recipients' ability to cope during the first 12 months after transplantation publication-title: Scand J Caring Sci – volume: 32 start-page: 930 year: 2000 end-page: 6 article-title: Coping after heart transplantation: a descriptive study of heart transplant recipients′ method of coping publication-title: J Adv Nurs – volume: 65 start-page: 2585 year: 2009 end-page: 96 article-title: Effects of clinical factors on psychosocial variables in renal transplant recipients publication-title: J Adv Nurs – volume: 9 start-page: 1876 year: 2009 end-page: 85 article-title: Calcineurin inhibitor minimization in the Symphony study: observational results 3 years after transplantation publication-title: Am J Transplant – volume: 15 start-page: 508 year: 2002 end-page: 14 article-title: Why do kidney grafts fail? A long term single‐center experience publication-title: Transpl Int – volume: 17 start-page: 2408 year: 2008 end-page: 17 article-title: Perceptions of experiences of graft rejection among organ transplant recipients – striving to control the uncontrollable publication-title: J Clin Nurs – volume: 20 start-page: 274 year: 2011 end-page: 82 article-title: The perceived threat of the risk for graft rejection and health related quality of life among organ transplant recipients publication-title: J Clin Nurs – year: 1991 – volume: 6 start-page: 421 year: 1990 end-page: 5 article-title: Stress, coping and quality of life in adult kidney transplant recipients publication-title: ANNA J – volume: 20 start-page: 355 year: 2006 end-page: 63 article-title: Themes of effective coping in physical disability: an interview study of 26 persons who have learnt to live with their disability publication-title: Scand J Caring Sci – volume: 24 start-page: 500 year: 2010 end-page: 9 article-title: Acute rejection in low‐toxicity regimens: clinical impact and risk factors in the Symphony study publication-title: Clin Transplant |
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Title | Coping in relation to perceived threat of the risk of graft rejection and Health-Related Quality of Life of organ transplant recipients |
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