Abstract

To verify the influence of sociodemographic factors on the quality of life of patients after liver transplant. Cross-sectional study with 150 patients who underwent liver transplant at a referral center. A sociodemographic instrument and the Liver Disease Quality of Life questionnaire were applied. The analysis of variance (ANOVA) was performed, as well as multiple comparisons by the Tukey test and Games-Howell tests when p <0.05. Old age had influence on domains of symptoms of liver disease (p = 0.049), sleep (p = 0.023) and sexual function (p = 0.03). Men showed better significant mean values than women for the loneliness dimension (p = 0.037). Patients with higher educational level had higher values for the domain of stigma of liver disease (p = 0.014). There was interference of income in the domains of quality of social interaction (p = 0.033) and stigma of the disease (p = 0.046). In half of the quality of life domains, there was influence of some sociodemographic variable. Verificar a influência dos fatores sociodemográficos na qualidade de vida dos pacientes depois do transplante de fígado. Estudo transversal, com 150 pacientes submetidos ao transplante de fígado em um centro de referência. Aplicou-se um instrumento sociodemográfico e o questionário Liver Disease Quality of Life. Foi realizada Análise de Variância (ANOVA) e comparações múltiplas pelo teste de Tukey e Games-Howell, quando p<0,05. A idade avançada apresentou influência nos domínios: sintomas da doença hepática (p=0,049), sono (p=0,023) e função sexual (p =0,03). Os homens apresentaram melhores médias significativas do que as mulheres na dimensão isolamento (p=0,037). Pacientes com nível de instrução mais alto apresentaram maiores valores no domínio estigma da doença hepática (p=0,014). Houve interferência da renda nos domínios qualidade da interação social (p=0,033) e estigma da doença (p=0,046). Em metade dos domínios de qualidade de vida, houve influência de alguma variável sociodemográfica.

Highlights

  • Chronic liver disease brings changes in various organ systems, causing complications that affect the physical functioning and performance of patients

  • Faced with a degenerative and progressive disease, liver transplantation is recommended as an alternative therapy, allowing for the reversal of the terminal condition and improvement of these patients’ quality of life[2]

  • Most participants reported income of up to two minimum wages (43.3%)

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Summary

Introduction

Chronic liver disease brings changes in various organ systems, causing complications that affect the physical functioning and performance of patients. These include muscle cramps, weight loss, hepatic encephalopathy and ascites, and influence the feeling of well-being and satisfaction with life of patients, and negatively affect their quality of life (QOL)(1). In 2014, there were 64 active liver transplant teams registered with the National Transplant System, which performed 1,775 liver transplants, ranking second in number of solid organ transplants[3] Given this reality, studies on the quality of life of these patients became necessary to understand the disease impact on daily activities, and obtain information for comparing the different types of treatments and analyze the costs

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