Examining the Relationship Between Healthy Life Awareness and Psychological Well-Being in Liver Transplantation Patients: A Structural Equation Model

Overview

Journal Nurs Health Sci

Date 2025 Feb 6

PMID 39914803

Authors

Sevinc Mese

Pinar Harmanci

Affiliations

Soon will be listed here.

Abstract

This study aimed to evaluate the mediating role of healthy life awareness in the relationship between the sociodemographic characteristics and psychological well-being of liver transplant patients. The sample of the study consisted of 202 patients aged between 18 and 69 years who underwent liver transplantation surgery at a hospital in Turkey. The data were collected using a sociodemographic information form, the "Healthy Life Awareness Scale" and the "Psychological Well-Being Scale." Healthy life awareness directly predicted psychological well-being (β: 0.68, p < 0.01). Education positively predicted psychological well-being both directly (β: 0.14, p < 0.05) and indirectly through healthy life awareness (β: 0.76, p < 0.05). Age indirectly predicted healthy life awareness and psychological well-being through employment status and education. The income level positively predicted healthy life awareness (β: 0.14, p < 0.05), whereas gender (male) negatively predicted healthy life awareness (β: -0.22, p < 0.01). Healthy life awareness was a significant predictor of psychological well-being. The results of this study may offer valuable information for healthcare providers to tailor interventions that also support mental and emotional health, which is critical to the long-term success of transplant outcomes.

References

Kisielska A, Schneider-Matyka D, Rachubinska K, Ustanowski P, Rybicka A, Grochans E . The Impact of Socio-Demographic Factors on the Functioning of Liver Transplant Patients. Int J Environ Res Public Health. 2022; 19(7). PMC: 8998949. DOI: 10.3390/ijerph19074230. View

Chen Y, Yu T, Wang C, Huang K, Hsu L, Lin C . Characteristics of Psychosocial Factors in Liver Transplantation Candidates with Alcoholic Liver Disease before Transplantation: A Retrospective Study in a Single Center in Taiwan. Int J Environ Res Public Health. 2020; 17(22). PMC: 7700481. DOI: 10.3390/ijerph17228696. View

Issa D, Alkhouri N . Long-term management of liver transplant recipients: A review for the internist. Cleve Clin J Med. 2015; 82(6):361-72. DOI: 10.3949/ccjm.82a.14072. View

McElroy L, Likhitsup A, Winder G, Saeed N, Hassan A, Sonnenday C . Gender Disparities in Patients With Alcoholic Liver Disease Evaluated for Liver Transplantation. Transplantation. 2019; 104(2):293-298. PMC: 8173276. DOI: 10.1097/TP.0000000000002843. View

Onghena L, Develtere W, Poppe C, Geerts A, Troisi R, Vanlander A . Quality of life after liver transplantation: State of the art. World J Hepatol. 2016; 8(18):749-56. PMC: 4921796. DOI: 10.4254/wjh.v8.i18.749. View

Neale J, Smith A, Bishop N . Effects of Exercise and Sport in Solid Organ Transplant Recipients: A Review. Am J Phys Med Rehabil. 2016; 96(4):273-288. DOI: 10.1097/PHM.0000000000000599. View

Broschewitz J, Wiltberger G, Krezdorn N, Krenzien F, Forster J, Atanasov G . Primary liver transplantation and liver retransplantation: comparison of health-related quality of life and mental status - a cross-sectional study. Health Qual Life Outcomes. 2017; 15(1):147. PMC: 5521060. DOI: 10.1186/s12955-017-0723-8. View

Buecker S, Simacek T, Ingwersen B, Terwiel S, Simonsmeier B . Physical activity and subjective well-being in healthy individuals: a meta-analytic review. Health Psychol Rev. 2020; 15(4):574-592. DOI: 10.1080/17437199.2020.1760728. View

Czarnecka K, Czarnecka P, Tronina O, Baczkowska T, Durlik M . De Novo Metabolic Syndrome 1 Year after Liver Transplantation and Its Association with Mid- and Long-Term Morbidity and Mortality in Liver Recipients. J Clin Med. 2024; 13(6). PMC: 10970934. DOI: 10.3390/jcm13061719. View

10.

Cucchetti A, Friedman Ross L, Thistlethwaite Jr J, Vitale A, Ravaioli M, Cescon M . Age and equity in liver transplantation: An organ allocation model. Liver Transpl. 2015; 21(10):1241-9. DOI: 10.1002/lt.24211. View

11.

Dabrowska-Bender M, Michalowicz B, Paczek L . Assessment of the Quality of Life in Patients After Liver Transplantation as an Important Part of Treatment Results. Transplant Proc. 2016; 48(5):1697-702. DOI: 10.1016/j.transproceed.2015.12.139. View

12.

Poggio E, Augustine J, Arrigain S, Brennan D, Schold J . Long-term kidney transplant graft survival-Making progress when most needed. Am J Transplant. 2020; 21(8):2824-2832. DOI: 10.1111/ajt.16463. View

13.

Cowling T, Jennings L, Goldstein R, Sanchez E, Chinnakotla S, Klintmalm G . Liver transplantation and health-related quality of life: scoring differences between men and women. Liver Transpl. 2004; 10(1):88-96. DOI: 10.1002/lt.20013. View

14.

Paterson T, ORourke N, Shapiro R, Thornton W . Medication adherence in renal transplant recipients: A latent variable model of psychosocial and neurocognitive predictors. PLoS One. 2018; 13(9):e0204219. PMC: 6161882. DOI: 10.1371/journal.pone.0204219. View

15.

Amoah P . Social participation, health literacy, and health and well-being: A cross-sectional study in Ghana. SSM Popul Health. 2018; 4:263-270. PMC: 5976832. DOI: 10.1016/j.ssmph.2018.02.005. View

16.

Girgenti R, Tropea A, Buttafarro M, Ragusa R, Ammirata M . Quality of Life in Liver Transplant Recipients: A Retrospective Study. Int J Environ Res Public Health. 2020; 17(11). PMC: 7313086. DOI: 10.3390/ijerph17113809. View

17.

Kim S, Kim H, Park Y, Kim S, Yoo S, Lee J . Factors influencing fatigue among mothers with hospitalized children: A structural equation model. J Spec Pediatr Nurs. 2017; 22(1). DOI: 10.1111/jspn.12171. View

18.

Khoddam H, Wellisch D . Psychological Distress in Hospitalized Patients Awaiting Organ Transplantation: Case Examples, Thematic Exploration, and Suggestions for Intervention. J Clin Psychol Med Settings. 2019; 27(3):622-631. DOI: 10.1007/s10880-019-09656-w. View

19.

Das K, Jones-Harrell C, Fan Y, Ramaswami A, Orlove B, Botchwey N . Understanding subjective well-being: perspectives from psychology and public health. Public Health Rev. 2020; 41(1):25. PMC: 7678314. DOI: 10.1186/s40985-020-00142-5. View

20.

Dunn M, Rogal S, Duarte-Rojo A, Lai J . Physical Function, Physical Activity, and Quality of Life After Liver Transplantation. Liver Transpl. 2020; 26(5):702-708. PMC: 8063858. DOI: 10.1002/lt.25742. View