Effects of a rehabilitation programme on daily functioning, participation, health-related quality of life, anxiety and depression in liver transplant recipients

被引:34
作者
Van Ginneken, B. T. J. [1 ]
Van den Berg-Emons, H. J. G. [1 ]
Metselaar, H. J. [2 ]
Tilanus, H. W. [3 ]
Kazemier, G. [3 ]
Stam, H. J. [1 ]
机构
[1] Erasmus Univ, Med Ctr Rotterdam, Dept Rehabil Med, NL-3000 CA Rotterdam, Netherlands
[2] Erasmus Univ, Med Ctr, Dept Gastroenterol & Hepatol, NL-3000 CA Rotterdam, Netherlands
[3] Erasmus Univ, Med Ctr, Dept Gen Surg, NL-3000 CA Rotterdam, Netherlands
关键词
Liver transplant; exercise; participation; health related quality of life; HOSPITAL ANXIETY; MULTIPLE-SCLEROSIS; PHYSICAL-ACTIVITY; CHRONIC DISEASE; EXERCISE; FATIGUE; SCALE; METAANALYSIS; IMPACT; HEART;
D O I
10.3109/09638288.2010.482174
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose. Fatigue is a chronic problem in liver transplant recipients and may influence daily functioning and health-related quality of life (HRQoL). This study aimed to evaluate the effects of a fatigue-reducing physical rehabilitation programme on daily functioning, participation, HRQoL, anxiety and depression among liver transplant recipients. Method. Eighteen fatigued liver transplant recipients (mean age 51 years, 10 men/8 women) participated in a 12-week rehabilitation programme, which included supervised exercise training and daily physical activity counselling. We assessed pre- and post-programme health-related daily functioning, participation, HRQoL, anxiety and depression using questionnaires. Results. After the programme, patients showed improvements in daily functioning (23.6%, p = 0.007), the participation domain 'autonomy outdoors' (34.1%, p = 0.001), and the HRQoL domains 'physical functioning' (11.5%, p = 0.007) and 'vitality' (21.5%, p = 0.022). Anxiety and depression were unchanged post-programme. Conclusions. Rehabilitation using supervised exercise training and daily physical activity counselling can positively influence daily functioning, participation and HRQoL among fatigued liver transplant recipients.
引用
收藏
页码:2107 / 2112
页数:6
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