Factors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantation

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.contributor.authorAkbulut, Sami
dc.contributor.authorOzer, Ali
dc.contributor.authorSaritas, Hasan
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-12-24T19:33:56Z
dc.date.available2024-12-24T19:33:56Z
dc.date.issued2021
dc.departmentSiirt Üniversitesi
dc.description.abstractBACKGROUND Depression, anxiety, and altered self-care ability are among the most important factors affecting the quality of life of liver transplant recipients. Depending on the severity of the underlying liver disease, signs and symptoms of anxiety and depression may become more pronounced. AIM To evaluate the factors affecting depression, anxiety and self-care abilities of liver transplant recipients. METHODS Recipients who are >= 18 years and who underwent liver transplantation at Inonu University Liver Transplantation Institute were included in this descriptive and cross-sectional study. Sample size analysis showed that the minimum number of recipients should be 301 (confidence level = 95%, confidence interval = 2.5, population = 1382). Three hundred and twenty recipients were interviewed and 316 recipients that have answered the questionnaires accurately were analyzed. The dependent variables were the Beck Depression Scale, State-Trait Anxiety Scale (Form I and II), and Self-Care Agency Scale. The independent variables of the study were sociodemographic characteristics, biliary complications, hepatocellular carcinoma, recommending liver transplantation to other patients, and the interval of out-patient clinic visits. RESULTS Self-care ability scores were lower (P = 0.002) and anxiety scores were higher (P = 0.004) in recipients with biliary complications. On the other hand, in recipients with hepatocellular carcinoma, self-care scores were lower (P = 0.006) while depression (P = 0.003) and anxiety scores (P = 0.009) were higher. Liver transplantation recipients with a monthly income < 3000 Turkish liras had higher depression (P < 0.001) and anxiety (P = 0.003) scores. The recipients who stated that they would not recommend liver transplantation to others had lower self-care scores (P = 0.002), higher depression (P < 0.001), higher state anxiety (P = 0.02), and trait anxiety (P < 0.001) scores. CONCLUSION Presence of biliary complications and hepatocellular carcinoma, low income level, and an obligation for monthly visits to the outpatient clinic are factors that are found to affect self-care capability, depression, and anxiety.
dc.identifier.doi10.3748/wjg.v27.i40.6967
dc.identifier.endpage6984
dc.identifier.issn1007-9327
dc.identifier.issn2219-2840
dc.identifier.issue40
dc.identifier.pmid34790018
dc.identifier.scopus2-s2.0-85118406868
dc.identifier.scopusqualityQ1
dc.identifier.startpage6967
dc.identifier.urihttps://doi.org/10.3748/wjg.v27.i40.6967
dc.identifier.urihttps://hdl.handle.net/20.500.12604/8339
dc.identifier.volume27
dc.identifier.wosWOS:000752179000015
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBaishideng Publishing Group Inc
dc.relation.ispartofWorld Journal of Gastroenterology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241222
dc.subjectLiver transplantation
dc.subjectBiliary complications
dc.subjectHepatocellular carcinoma
dc.subjectSocioeconomic status
dc.subjectDepression
dc.subjectAnxiety
dc.subjectSelf-care capabilities
dc.titleFactors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantation
dc.typeArticle

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