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Fear of graft rejection 1-5years after lung transplantation: A nationwide cohort study

Journal article
Authors A. Forsberg
M. Nilsson
Sofie Jakobsson
Annette Lennerling
A. Kisch
Published in Nursing Open
Volume 5
Issue 4
Pages 484-490
ISSN 2054-1058
Publication year 2018
Published at Institute of Health and Care Sciences
Pages 484-490
Language en
Keywords graft rejection, lung transplantation, psychological well-being, self-efficacy, quality-of-life, perceived threat, recipients, risk, disease, heart, Nursing
Subject categories Nursing


Aim: To explore the perceived threat of the risk of graft rejection and its relationship to psychological general well-being and self-efficacy 1-5years after lung transplantation. Design: A nationwide, cross-sectional cohort study as a part of the Self-management after thoracic transplantation study. Methods: A total of 117 lung transplant recipients due for their yearly follow-up one (N=35), two (N=28), three (N=23), four (N=20) and 5years (N=11) after lung transplantation were included. We used three instruments; the Perceived Threat of the Risk of Graft Rejection, the Psychological General Well-being and Self-efficacy in chronic illness. Results: The lung recipients reported an overall low perceived threat of the risk of graft rejection with no gender differences. Intrusive anxiety explained 24.7% of the variance in the PGWB-sum (p <= 0.001) and makes a statistically significant (beta = -497; p0.001) unique contribution to the overall psychological general well-being (95%CI 3.004-1.515).

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