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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

Joe Antoun Orcid Logo, Daniel J. Brown Orcid Logo, Beth G. Clarkson Orcid Logo, Anthony I. Shepherd Orcid Logo, Nicholas C. Sangala Orcid Logo, Robert J. Lewis Orcid Logo, Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo, Jo Corbett Orcid Logo, Zoe L. Saynor Orcid Logo

Journal of Renal Care, Volume: 49, Issue: 3

Swansea University Authors: Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo

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DOI (Published version): 10.1111/jorc.12443

Abstract

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...

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Published in: Journal of Renal Care
ISSN: 1755-6678 1755-6686
Published: Wiley 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa61284
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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. Methods: 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 research demonstrates the variability in the lived experiences of adults living with advanced kidney disease or a kidney transplant and highlight the need for patient-centred care.</abstract><type>Journal Article</type><journal>Journal of Renal Care</journal><volume>49</volume><journalNumber>3</journalNumber><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1755-6678</issnPrint><issnElectronic>1755-6686</issnElectronic><keywords>Chronic kidney disease, Kidney transplant, Physical activity, Quality of life, Wellbeing</keywords><publishedDay>17</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-10-17</publishedDate><doi>10.1111/jorc.12443</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>NxStage Medical Inc.</funders><projectreference/><lastEdited>2023-09-04T17:02:01.3569748</lastEdited><Created>2022-09-20T11:54:51.1435090</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2"/></path><authors><author><firstname>Joe</firstname><surname>Antoun</surname><orcid>0000-0002-9678-4326</orcid><order>1</order></author><author><firstname>Daniel J.</firstname><surname>Brown</surname><orcid>0000-0002-2210-3225</orcid><order>2</order></author><author><firstname>Beth G.</firstname><surname>Clarkson</surname><orcid>0000-0002-2237-0964</orcid><order>3</order></author><author><firstname>Anthony I.</firstname><surname>Shepherd</surname><orcid>0000-0001-6392-7944</orcid><order>4</order></author><author><firstname>Nicholas C.</firstname><surname>Sangala</surname><orcid>0000-0003-3997-2512</orcid><order>5</order></author><author><firstname>Robert J.</firstname><surname>Lewis</surname><orcid>0000-0001-9592-4932</orcid><order>6</order></author><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>7</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>8</order></author><author><firstname>Jo</firstname><surname>Corbett</surname><orcid>0000-0002-6552-6471</orcid><order>9</order></author><author><firstname>Zoe L.</firstname><surname>Saynor</surname><orcid>0000-0003-0674-8477</orcid><order>10</order></author></authors><documents><document><filename>61284__25842__1995e08c00974960aa377166fc28eaaa.pdf</filename><originalFilename>61284_VoR.pdf</originalFilename><uploaded>2022-11-20T14:30:38.6246596</uploaded><type>Output</type><contentLength>1349477</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2022 The Authors. 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spelling v2 61284 2022-09-20 Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2022-09-20 STSC 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. Methods: 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 research demonstrates the variability in the lived experiences of adults living with advanced kidney disease or a kidney transplant and highlight the need for patient-centred care. Journal Article Journal of Renal Care 49 3 Wiley 1755-6678 1755-6686 Chronic kidney disease, Kidney transplant, Physical activity, Quality of life, Wellbeing 17 10 2022 2022-10-17 10.1111/jorc.12443 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University NxStage Medical Inc. 2023-09-04T17:02:01.3569748 2022-09-20T11:54:51.1435090 Faculty of Science and Engineering Joe Antoun 0000-0002-9678-4326 1 Daniel J. Brown 0000-0002-2210-3225 2 Beth G. Clarkson 0000-0002-2237-0964 3 Anthony I. Shepherd 0000-0001-6392-7944 4 Nicholas C. Sangala 0000-0003-3997-2512 5 Robert J. Lewis 0000-0001-9592-4932 6 Melitta McNarry 0000-0003-0813-7477 7 Kelly Mackintosh 0000-0003-0355-6357 8 Jo Corbett 0000-0002-6552-6471 9 Zoe L. Saynor 0000-0003-0674-8477 10 61284__25842__1995e08c00974960aa377166fc28eaaa.pdf 61284_VoR.pdf 2022-11-20T14:30:38.6246596 Output 1349477 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License true eng http://creativecommons.org/licenses/by-nc/4.0/
title Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
spellingShingle Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
Melitta McNarry
Kelly Mackintosh
title_short Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
title_full Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
title_fullStr Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
title_full_unstemmed Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
title_sort Experiences of adults living with a kidney transplant—Effects on physical activity, physical function, and quality of life: A descriptive phenomenological study
author_id_str_mv 062f5697ff59f004bc8c713955988398
bdb20e3f31bcccf95c7bc116070c4214
author_id_fullname_str_mv 062f5697ff59f004bc8c713955988398_***_Melitta McNarry
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
author Melitta McNarry
Kelly Mackintosh
author2 Joe Antoun
Daniel J. Brown
Beth G. Clarkson
Anthony I. Shepherd
Nicholas C. Sangala
Robert J. Lewis
Melitta McNarry
Kelly Mackintosh
Jo Corbett
Zoe L. Saynor
format Journal article
container_title Journal of Renal Care
container_volume 49
container_issue 3
publishDate 2022
institution Swansea University
issn 1755-6678
1755-6686
doi_str_mv 10.1111/jorc.12443
publisher Wiley
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
document_store_str 1
active_str 0
description 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. Methods: 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 research demonstrates the variability in the lived experiences of adults living with advanced kidney disease or a kidney transplant and highlight the need for patient-centred care.
published_date 2022-10-17T17:02:03Z
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