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Background: Although kidney transplantation is the best treatment for kidney failure, scarce research has examined its effects on physical activity, physical function and quality of life.

Objectives: To investigate the experiences of a group of adults living with advanced kidney disease focusing on quality of life, physical activity and function and to see how findings differ in a group of kidney transplant recipients.

Approach: Individual semi-structured interviews were conducted with adults with advanced kidney disease (n = 10; 70.5 ± 8.9 years) and adults who had received a kidney transplant (n = 10; 50.7 ± 11.5 years; transplant age: 42.7 ± 20.9 months). Interviews were transcribed verbatim, thematically analysed and composite vignettes developed.

Findings: Individuals with advanced kidney disease described a sense of loss and alteration to their life plans. Kidney transplant recipients reported increased freedom, independence and a return to near normality, with improved quality of life, physical activity and function compared with their pre-transplant lives. However, transplant recipients also described living with anxiety about the health of their transplant and fear it may fail.

Conclusion: Whilst adults living with advanced kidney disease often experience a reduced quality of life, physical activity and function, kidney transplantation can help facilitate a return to pre-disease levels of physical activity, physical function and quality of life. However, transplant recipients also reported living with anxiety around their new kidney failing. This study demonstrates the variability in the lived experiences of adults living with advanced kidney disease or a kidney transplant and highlights the need for patient-centred care.

Titel:	Experiences of adults living with a kidney transplant-Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study.
Autor/in / Beteiligte Person:	Antoun, J ; Brown, DJ ; Clarkson, BG ; Shepherd, AI ; Sangala, NC ; Lewis, RJ ; McNarry, MA ; Mackintosh, KA ; Corbett, J ; Saynor, ZL
Link:	Full Text Finder (Volltext)
Zeitschrift:	Journal of renal care, Jg. 49 (2023-09-01), Heft 3, S. 198-205
Veröffentlichung:	Malden, MA : Wiley-Blackwell ; <i>Original Publication</i>: Paris : EDTNA/ERCA, 2023
Medientyp:	academicJournal
ISSN:	1755-6686 (electronic)
DOI:	10.1111/jorc.12443
Schlagwort:	Humans Adult Infant Child, Preschool Exercise Quality of Life Kidney Transplantation
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Ren Care] 2023 Sep; Vol. 49 (3), pp. 198-205. <i>Date of Electronic Publication: </i>2022 Oct 17. MeSH Terms: Quality of Life* ; Kidney Transplantation* ; Humans ; Adult ; Infant ; Child, Preschool ; Exercise References: Almutary, H., Bonner, A. & Douglas, C. (2016) Which patients with chronic kidney disease have the greatest symptom burden? A comparative study of advanced CKD stage and dialysis modality. Journal of Renal Care, 42(2), 73-82. Available from: https://doi.org/10.1111/JORC.12152. ; Antoun, J., Brown, D.J., Jones, D.J.W., Clarkson, B.G., Shepherd, A.I., Sangala, N.C. et al. (2022a) Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing. Journal of Renal Care, 1-9. Available from: https://doi.org/10.1111/jorc.12416. ; Antoun, J., Brown, D.J., Jones, D.J.W., Sangala, N.C., Lewis, R.J., Shepherd, A.I. et al. 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Clinical Journal of the American Society of Nephrology, 6(4), 898-905. Available from: https://doi.org/10.2215/CJN.03340410. Grant Information: NxStage Medical Inc. Contributed Indexing: Keywords: chronic kidney disease; kidney transplant; physical activity; quality of life; well-being Entry Date(s): Date Created: 20221017 Date Completed: 20230728 Latest Revision: 20230728 Update Code: 20240513

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Experiences of adults living with a kidney transplant-Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study.