Effects of Self-management Behavior on QOL, Biometric Data and Medical Cost among Kidney Transplant Patients: One-year Prospective Cohort Study

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  • 腎移植患者の自己管理行動がQOL，生体データ，医療費に及ぼす影響：
  • 腎移植患者の自己管理行動がQOL,生体データ,医療費に及ぼす影響 : 1年間の前向きコホート研究
  • ジン イショク カンジャ ノ ジコ カンリ コウドウ ガ QOL,セイタイ データ,イリョウヒ ニ オヨボス エイキョウ : 1ネンカン ノ マエムキ コホート ケンキュウ
  • 1年間の前向きコホート研究

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Abstract

<p>Aim: The purpose of this study was to clarify the effects of self-management behavior, quality of life (QOL), biometric data, and medical costs on kidney transplant patients in a 1-year prospective cohort study.</p><p>Methods: The participants were 225 patients who underwent kidney transplantation. Self-management behavior was measured using the self-administered Kidney Transplant Self-management scale (Japanese version), and health-related QOL was examined using Medical Outcomes Study 12-Item Short-Form Health Survey. Participant characteristics and biometric data were obtained from the patients’ electronic medical record data, and medical costs were calculated from medical fee billing information (EF files).</p><p>Results: Among the 142 participants whose data were analyzed, the interaction of self-management behavior and time was identified as significant in Role/Social component summary QOL score (F(1, 50) = 14.85, p < .001)and Triglyceride (TG) value (F(1, 61) = 9.83, p < .001). Regarding medical expenses, the high self-management group had reduced outpatient medical expenses (F(1, 123) = 4.06, p = .044), but there was no significant difference in the total outpatient and total medical costs.</p><p>Conclusion: The results suggested that appropriate self-management behavior of kidney transplant patients had a positive effect on quality of life, biometric data.</p>

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