A Study on Adherence to Follow-up, Quality of Life, and Associated Factors Among Renal Transplant Recipients in China

Background. Adherence to follow-up is vital for the medical surveillance of the postoperative blood concentration, but relatively little research has examined it, and there is less study on relationships between adherence to follow-up and quality of life (QoL). We investigated the status of adherence to follow-up and QoL and associated factors among kidney transplantation recipients in China. Methods. A cross-sectional study with the use of a Kidney Transplantation Recipient's Adherence to Follow-Up Questionnaire and a Quality of Life of Kidney Transplantation Recipients Questionnaire was conducted among 250 kidney transplantation recipients in Changsha, China, from January to March in 2015. Results. The mean score for adherence to follow-up was 54.71 +/- 6.46. Time after transplantation was the only factor affecting adherence to follow-up scores (beta = -0.210; P < .05). The mean total score for QoL was 140.39 +/- 13.56; physical functioning, 23.72 +/- 3.33; psychologic functioning, 24.46 +/- 4.23; social functioning, 44.43 +/- 6.80; treatment, 24.81 +/- 2.97; and subjective satisfaction, 21.28 +/- 3.15. Multiple linear regression analysis showed that adherence to follow-up, economic level, job status, donor source, and original disease affected with QoL. Conclusions. Adherence to follow-up decreases with time after transplantation, and better compliance is associated with better QoL in all areas. Improvements in adherence to follow-up, income and reimbursement, psychologic guidance, and social support may increase QoL of kidney transplantat recipients.