ĐÁNH GIÁ THỰC TRẠNG SỨC KHOẺ CỦA NGƯỜI BỆNH TRƯỚC VÀ SAU GHÉP THẬN

Abstract

Objective: To evaluate the physical health–related quality of life in patients before and after kidney transplantation at the 108 Central Military Hospital. Methods: A cross‐sectional before‑and‑after comparison study was conducted from March 2021 to June 2024. Clinical parameters and health‐related quality of life were assessed pre‑ and post‑transplant using the SF‑36 questionnaire. Body mass index (BMI), complete blood count, serum urea, and creatinine levels were recorded. Paired t‑tests were used to compare mean scores before and after transplantation. Results: Among 63 kidney transplant recipients, BMI increased slightly from 20.9 ± 2.9 to 21.6 ± 2.9 kg/m² (p = 0.013). Red blood cell count and hemoglobin rose significantly (both p < 0.001). Serum urea fell from 22.3 ± 9.1 to 6.3 ± 1.8 mmol/L, and creatinine decreased from 861 ± 296.1 to 105.8 ± 66.8 μmol/L (both p < 0.001). Post‑transplant SF‑36 scores improved markedly: GH, PF, RF, and PCS all increased (p < 0.001), whereas BP decreased from 35.4 ± 23.7 to 16.7 ± 17.9 (p < 0.001), indicating reduced functional limitation but greater postoperative pain. Conclusion: Kidney transplantation not only restores renal function but also significantly enhances patients’ physical health–related quality of life, despite an increase in pain experienced early after surgery.