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

dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridözer, ali/0000-0002-7144-4915
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidözer, ali/ABI-2209-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAkbulut, Sami
dc.contributor.authorOzer, Ali
dc.contributor.authorSaritas, Hasan
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:50:48Z
dc.date.available2024-08-04T20:50:48Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
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.en_US
dc.identifier.doi10.3748/wjg.v27.i40.6967
dc.identifier.endpage6984en_US
dc.identifier.issn1007-9327
dc.identifier.issn2219-2840
dc.identifier.issue40en_US
dc.identifier.pmid34790018en_US
dc.identifier.scopus2-s2.0-85118406868en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage6967en_US
dc.identifier.urihttps://doi.org/10.3748/wjg.v27.i40.6967
dc.identifier.urihttps://hdl.handle.net/11616/100292
dc.identifier.volume27en_US
dc.identifier.wosWOS:000752179000015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLiver transplantationen_US
dc.subjectBiliary complicationsen_US
dc.subjectHepatocellular carcinomaen_US
dc.subjectSocioeconomic statusen_US
dc.subjectDepressionen_US
dc.subjectAnxietyen_US
dc.subjectSelf-care capabilitiesen_US
dc.titleFactors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantationen_US
dc.typeArticleen_US

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